Organization
BY YOUR SIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH PERSON (OWNER)
(757) 776-9631
Entity
Organization
Contact information
Practice address
736 STANWIX SQ, NORFOLK, VA 23502-3928
(757) 776-9631
Mailing address
736 STANWIX SQ, NORFOLK, VA 23502-3928
(757) 776-9631
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/09/2021
Last updated
11/11/2021
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