| NPI | 1720115694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN MARVIN LEE President 304-788-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WV 038789) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |