| NPI | 1902449317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COLES Transportation Provider 804-393-4962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |