| NPI | 1124482286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATARSHA PRIDE Owner Member 540-419-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA T60873761) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: VA T60873761) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-21 |