Organization
LEVI 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE E BRUTLEY (EXECUTIVE DIRECTOR)
(804) 549-9380
Entity
Organization
Contact information
Practice address
4213 DAPPLE GREY DR, RICHMOND, VA 23223-2284
(804) 549-9380
Mailing address
PO BOX 1011, MECHANICSVILLE, VA 23111-1011
(804) 549-9380
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
12/26/2023
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