| NPI | 1588339618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY YVONNE BETHEA Owner/Operator 757-944-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |