| NPI | 1245774231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN HENDERSON Member/Manager 804-795-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |