Organization
MO EISA LLC
Active
Organization
MO EISA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED EISA (OWNER)
(434) 882-5197
Entity
Organization
Contact information
Practice address
1420 WILTON FARM RD APT 102, CHARLOTTESVILLE, VA 22911-7613
(434) 882-5197
Mailing address
1420 WILTON FARM RD APT 102, CHARLOTTESVILLE, VA 22911-7613
(434) 882-5197
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
07/08/2024
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