| NPI | 1225697733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE CORDELL HARRISON Owner 434-774-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2019-06-08 |