# DE-TRANS LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578094579
- **Authorized official:** DARYL FITZGERALD (OWNER)
- **Authorized official phone:** (804) 491-6665

## Contact information

- **Practice address:** 927 JENKINS CHURCH RD, CUMBERLAND, VA 23040-2036
- **Practice address phone:** (804) 491-6665
- **Mailing address:** 927 JENKINS CHURCH RD, CUMBERLAND, VA 23040-2036
- **Mailing address phone:** (804) 491-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | T67507941 | VA | — |

## Other

- **Enumeration date:** 03/22/2017
- **Last updated:** 11/20/2020