Organization
PIONEER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRINGTON MENZEL QMHP (OWNER)
(434) 473-3146
Entity
Organization
Contact information
Practice address
484 MADDOX RD, GLADYS, VA 24554-3030
(434) 473-3146
Mailing address
PO BOX 73, NARUNA, VA 24576-0073
(434) 473-3146
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S6069449
VA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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