Organization
SOUTHERN TRANS LLC
Active
Other names
Southern Trans LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JORDAN (OWNER/MANAGER)
(540) 932-0300
Entity
Organization
Contact information
Practice address
100 WAVERLEY DR APT L1, WAYNESBORO, VA 22980-5290
(540) 388-3337
(540) 932-0300
Mailing address
100 WAVERLEY DR APT L1, WAYNESBORO, VA 22980-5290
(540) 932-0300
(509) 561-3599
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
05/30/2019
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