Organization
PROVIDEARIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANA FOXX (OWNER/PROVIDER)
(216) 952-0855
Entity
Organization
Contact information
Practice address
109 KINGSBURY DR, NEWPORT NEWS, VA 23606-1741
(216) 952-0855
Mailing address
109 KINGSBURY DR, NEWPORT NEWS, VA 23606-1741
(216) 952-0855
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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