| NPI | 1750938262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELBERT LEE CHILDRESS Owner/ Manager 434-548-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |