NPI | 1356119614 |
---|---|
Entity Type | Organization |
Authorized Contact | CURTIS L. DERRICOTT Part Owner 804-922-6878 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 347C00000X Private Vehicle |
Enumeration Date | 2023-12-18 |
Last Update Date | 2023-12-18 |