| NPI | 1821422148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DAVIS Owner 304-387-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WV 2288-4440) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |