Organization
PETE'S TRANSPORT
Active
Organization
PETE'S TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNESHA NICOLE BREEDLOVE (SOLE MEMBER)
(434) 251-5353
Entity
Organization
Contact information
Practice address
625 PINEY FOREST RD STE 401B, DANVILLE, VA 24540-2870
(434) 334-7383
Mailing address
625 PINEY FOREST RD STE 401B, DANVILLE, VA 24540-2870
(434) 334-7383
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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