| NPI | 1558997650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KHORGUASHVILI Owner/Manager 757-339-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2023-12-21 |