| NPI | 1275725830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE ANTHONY BROWN Owner 757-376-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA A60302387) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |