| NPI | 1245634344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIS FLEETWOOD BROOKS Program Director 804-638-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |