Pahala Park LLC
Ambulance, Land Transport in Virginia Beach, VA. Organization (NPI-2).
NPI number1093433765
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1093433765
- Entity type
- Organization (NPI-2)
- Legal business name
- Pahala Park LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 17, 2022
- Last updated
- Aug 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | – | – | Yes |
Other names
- Coastal Event Medical Management (Doing Business As)
Practice location
2240 W Great Neck RdVirginia Beach, VA 23451-1506
Phone 757-373-8815
Mailing address
2240 W Great Neck RdVirginia Beach, VA 23451-1506
Authorized official
Michael P Lewis
Owner/Coo
7573738815
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