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Tidewater Express Transportation, LLC

Non-emergency Medical Transport (VAN) in Suffolk, VA. Organization (NPI-2).

NPI number1083173744
StatusActive
Last updated in NPPESMar 13, 2019

Details

NPI
1083173744
Entity type
Organization (NPI-2)
Legal business name
Tidewater Express Transportation, LLC
Organization subpart
No
Enumeration date
Mar 13, 2019
Last updated
Mar 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

2007 Jehu St
Suffolk, VA 23435-3539

Phone 757-639-9174

Mailing address

2007 Jehu St
Suffolk, VA 23435-3539

Phone 757-639-9174

Authorized official

Jariel Walton
Ceo
7574772680

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