Organization · Type 2 NPI
Fort Shelby Manor
Private Vehicle · Bristol, VA
NPI number
1609390848
Active
Practice location
200 Solar St
Bristol, VA 24201-4141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1609390848
Fort Shelby Manor's National Provider Identifier is 1609390848, issued on Jul 31, 2017. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Bristol, VA. The record was last updated on Jul 21, 2022.