| NPI | 1912539784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LISETTE SIMMONS President 757-757-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |