Organization
NAN TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALKIDAN SHIMELIS DESTA REV. DR. (OWNER/ADMINISTRATOR)
(804) 912-5578
Entity
Organization
Contact information
Practice address
5510 WINDY RIDGE TER, MIDLOTHIAN, VA 23112-6341
(804) 912-5578
Mailing address
5510 WINDY RIDGE TER, MIDLOTHIAN, VA 23112-6341
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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