Organization
LIVING GOLDEN ELDER RIDE VIRGINIA TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNSON-FISHER (MANAGING MEMBER)
(804) 833-4477
Entity
Organization
Contact information
Practice address
4352 MYLAN RD, RICHMOND, VA 23223-2274
(804) 833-4477
(804) 918-9007
Mailing address
4352 MYLAN RD, RICHMOND, VA 23223-2274
(804) 833-4477
(804) 833-4477
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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