| NPI | 1184715633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA D LLOYD Assistant Manager 304-257-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |