| NPI | 1104332618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GETU MEKONNEN Owner 804-350-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 581) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |