| NPI | 1538729785 |
|---|---|
| Former Legal Business Name | LIFEWAY MEDICAL TRANSPORT,LLC |
| Entity Type | Organization |
| Authorized Contact | MARQUIS THOMPSON Owner 757-937-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-01-12 |