Organization
GOOD SHEPHERD TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWURA AMPONSEM (OWNER)
(571) 575-3412
Entity
Organization
Contact information
Practice address
14818 DARBYDALE AVE, WOODBRIDGE, VA 22193-2764
(571) 575-3412
Mailing address
14818 DARBYDALE AVE, WOODBRIDGE, VA 22193-2764
(571) 575-3412
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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