| NPI | 1326541756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARLIE E LOGAN Owner 804-489-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA t65458993) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |