Full Moon Medical Transportation LLC
Transportation Network Company in Glen Allen, VA. Organization (NPI-2).
NPI number1639865249
StatusActive
Last updated in NPPESApr 22, 2023
Details
- NPI
- 1639865249
- Entity type
- Organization (NPI-2)
- Legal business name
- Full Moon Medical Transportation LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2023
- Certification date
- Apr 22, 2023
- Last updated
- Apr 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 342000000X | Transportation Network Company | – | – | Yes |
Practice location
11424 Old Mountain RdGlen Allen, VA 23060-1916
Phone 804-878-9000
Mailing address
11424 Old Mountain RdGlen Allen, VA 23060-1916
Phone 804-878-9000
Authorized official
Wossen Belete
Owner
8048789000
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