Organization
SUITE TRANSPORTATION, LLC
Active
Organization
SUITE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE TANYA DOUGLAS LPC (OWNER)
(757) 208-3699
Entity
Organization
Contact information
Practice address
116 INDEPENDENCE CT, SUFFOLK, VA 23434-2369
(757) 208-3699
Mailing address
PO BOX 2113, VIRGINIA BEACH, VA 23450-2113
(757) 208-3699
(757) 208-1219
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962007740
—
VA
Enumeration date
10/18/2022
Last updated
10/18/2022
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