| NPI | 1740818251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIMIYBELU BEYENE LAKE Manager/Owner 804-503-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-05-08 |