| NPI | 1740774033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHONYA LEWIS Director/Owner 804-641-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251S00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-10-27 |