Organization
PW TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATARSHA D PRIDE (CHIEF EXECUTIVE OFFICER)
(540) 419-7766
Entity
Organization
Contact information
Practice address
27 PENDLETON RD, FREDERICKSBURG, VA 22405-3040
(540) 419-7766
Mailing address
27 PENDLETON RD, FREDERICKSBURG, VA 22405-3040
(540) 419-7766
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T60873761
VA
347C00000X
Private Vehicle
T60873761
VA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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