| NPI | 1194293993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'KESHA MASON Program Administrator 757-918-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |