Organization
HOMEBASE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEA ECCLES (PRESIDENT)
(276) 806-0076
Entity
Organization
Contact information
Practice address
30 CANDLEWYCK CT APT 10, MARTINSVILLE, VA 24112-2072
(276) 690-7788
Mailing address
30 CANDLEWYCK CT APT 10, MARTINSVILLE, VA 24112-2072
(276) 690-7788
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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