| NPI | 1407367998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI NIKOL FULLER Administrator 804-501-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |