Organization
OGIAWESOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH OBENG (MANAGER)
(540) 848-5309
Entity
Organization
Contact information
Practice address
109 CHESTERBROOK COURT, STAFFORD, VA 22554
(540) 840-5388
(571) 406-6903
Mailing address
109 CHESTERBROOK CT, STAFFORD, VA 22554-4879
(540) 840-5388
(571) 406-6911
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T25030193
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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