| NPI | 1558884270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J WILLIAMS Owner 434-483-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 2717-03-001) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-11-17 |