| NPI | 1609068741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOUR B ALI FATEN Director 804-909-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA KJW3564) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |