| NPI | 1205383718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH OBENG Manager 540-848-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA T25030193) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |