| NPI | 1366806754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTINA SAMOHT DANCY Manager 757-777-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 14227) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 14227) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-14 |