| NPI | 1629548896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA OWUSU Administrator 540-426-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2022-04-28 |