| NPI | 1205399276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALAF OMAR EGAL Administrator 703-589-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |