Organization
TLC NON EMERGENCY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THELBERT LEE CHILDRESS (OWNER/ MANAGER)
(434) 548-9731
Entity
Organization
Contact information
Practice address
928 GREENWOOD AVENUE, DANVILLE, VA 24541-2454
(434) 548-9731
Mailing address
928 GREENWOOD AVENUE, DANVILLE, VA 24541
(434) 548-9731
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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