| NPI | 1295255404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORAEFO A U Manager 757-639-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |