Organization
LION OF JUDAH MASS TRANSIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAISE OGECHI OSUJI (OWNER)
(240) 342-1156
Entity
Organization
Contact information
Practice address
6811 KENILWORTH AVE STE 500, RIVERDALE, MD 20737-1318
(240) 342-1156
Mailing address
6811 KENILWORTH AVE STE 500, RIVERDALE, MD 20737-1318
(240) 342-1156
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3145
MD
Other
Enumeration date
05/01/2018
Last updated
09/12/2018
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