| NPI | 1962734376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROXANNE BUCKNER Owner/Manager 304-925-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WV 2235-2951) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |