Organization
LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITSUM A TEFERA (OFFICER)
(703) 294-9069
Entity
Organization
Contact information
Practice address
418 MAURY ST, RICHMOND, VA 23224
(571) 294-9069
Mailing address
13803 STROH CT, ACCOKEEK, MD 20607-3780
(571) 314-7187
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/27/2023
Last updated
09/01/2023
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