| NPI | 1891804522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE HALL Administrator 304-252-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WV 0144936001) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-11-09 |