Organization
SHEPHERD RIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX OKORIE (PRESIDENT)
(703) 438-1822
Entity
Organization
Contact information
Practice address
553 SPARKLEBERRY TER NE, LEESBURG, VA 20176-4050
(703) 438-1822
(703) 771-1007
Mailing address
553 SPARKLEBERRY TER NE, LEESBURG, VA 20176-4050
(703) 438-1822
(703) 771-1007
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8364
VA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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