| NPI | 1760901599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNITA WISE Owner 757-593-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA HO-2017-0030) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2018-01-23 |