| NPI | 1538929997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MCKENNELLY Owner/Operator 757-949-3418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |