Organization
CITYWIDE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWNDA GHOLSON (MANAGING PARTNER)
(804) 732-0659
Entity
Organization
Contact information
Practice address
1851 FORT MAHONE ST, PETERSBURG, VA 23805-2761
(804) 732-0659
(804) 732-0684
Mailing address
1851 FORT MAHONE ST, PETERSBURG, VA 23805-2761
(804) 732-0659
(804) 732-0684
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
268
VA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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