| NPI | 1477925659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ALEXANDER COO 757-490-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0710102083) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2017-10-17 |