Organization
SPREAD YOUR WINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY YANCEY WINGFIELD QMHP (OWNER/OPERATOR)
(804) 503-6617
Entity
Organization
Contact information
Practice address
709 HALLWOOD FARMS DR., RICHMOND, VA 23223
(804) 503-6617
Mailing address
709 HALLWOOD FARMS DR., RICHMOND, VA 23223
(804) 503-6617
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T62928978
VA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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