Organization
GHOST MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANSOUR B ALI FATEN (DIRECTOR)
(804) 909-7701
Entity
Organization
Contact information
Practice address
6821 CARNATION ST APT F, RICHMOND, VA 23225-5264
(804) 909-7701
(804) 745-0295
Mailing address
6821 CARNATION ST APT F, RICHMOND, VA 23225-5264
(804) 909-7701
(804) 745-0295
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
KJW3564
VA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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