| NPI | 1699314013 |
|---|---|
| Former Legal Business Name | MATATA GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | BELINDA AHORNAM GRIFFIN General Manager 703-687-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |