| NPI | 1598236515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN ROLAND M. TSHIBUABUA Owner 703-559-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |