| NPI | 1700253374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION ELIZABETH HAMLIN Administrator 757-303-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: VA T60383324) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2015-08-30 |