| NPI | 1891595898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL PANNELL Operations Manager 757-297-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |