| NPI | 1831727346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVETTE DENISE NICHOLS CEO/President 757-685-5991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |