Organization
EXODUS TRANSPORT, LLC
Active
Other names
Exodus Transport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BORDEN (CO-OWNER)
(804) 475-5416
Entity
Organization
Contact information
Practice address
7124 FOREST HILL AVE STE D, RICHMOND, VA 23225-1541
(804) 269-4881
(804) 726-6251
Mailing address
7124 FOREST HILL AVE STE D, RICHMOND, VA 23225-1541
(804) 269-4881
(804) 726-6251
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12111961
12111961
—
Enumeration date
05/16/2019
Last updated
05/16/2019
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