Organization
LIVELY MEDICAL TRANSPORT LLC.
Active
Other names
Lively Medical Transport LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE ERIC CASTEEL (OWNER)
(804) 296-8088
Entity
Organization
Contact information
Practice address
442 OLD ORCHARD DR, LANCASTER, VA 22503-2610
(804) 296-8088
Mailing address
442 OLD ORCHARD DR, LANCASTER, VA 22503-2610
(804) 296-8088
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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