| NPI | 1962178368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAMISHA SHAUNTAE COLLINS Manager 757-892-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |