Organization
MIKE'S MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY SCEARCE MANNING (CO-OWNER / VICE PRESIDENT)
(276) 650-3964
Entity
Organization
Contact information
Practice address
225 TAYLOR RD, AXTON, VA 24054-2657
(276) 650-3964
Mailing address
225 TAYLOR ROAD, AXTON, VA 24054
(276) 650-3964
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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