| NPI | 1720581267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DEANNA MASON Co Owner 804-926-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 502410) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: VA 502410) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-17 |