| NPI | 1508526138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS JERMAINE QUINERLY Owner 757-997-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |