| NPI | 1790326643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYNESHA NICOLE BREEDLOVE Sole Member 434-251-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |