| NPI | 1871096396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN NICOLE LEON Owner 757-690-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2022-05-10 |