Organization
BAC & FORTH TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAE DEANA SAMUELS (OWNER)
(619) 254-4172
Entity
Organization
Contact information
Practice address
900 COMMONWEALTH PL, VIRGINIA BEACH, VA 23464-4517
(757) 550-0056
Mailing address
4400 HARLESDEN DR, VIRGINIA BEACH, VA 23462-4651
(619) 254-4172
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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