Organization
ICARE CAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIMIYBELU BEYENE LAKE (MANAGER/OWNER)
(804) 503-1250
Entity
Organization
Contact information
Practice address
2613 HILLIARD RD, HENRICO, VA 23228-4524
(804) 503-1250
Mailing address
2613 HILLIARD RD, HENRICO, VA 23228-4524
(804) 503-1250
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
05/08/2023
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