Healthcare Provider Details

I. General information

NPI: 1598084824
Provider Name (Legal Business Name): PRECISE CARE TRANSPORTATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 BLACKSTONE AVE
HOPEWELL VA
23860-5711
US

IV. Provider business mailing address

1502 BLACKSTONE AVE
HOPEWELL VA
23860-5711
US

V. Phone/Fax

Practice location:
  • Phone: 804-458-2529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number152
License Number StateVA

VIII. Authorized Official

Name: MS. ALTHEIA STARKE
Title or Position: PRESIDENT
Credential:
Phone: 804-458-2529