Organization
EXECUTIVE SEDAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN LONGLEY (CEO)
(301) 448-7067
Entity
Organization
Contact information
Practice address
4204 ETHAN THOMAS DR, CLINTON, MD 20735-4431
(301) 448-7067
Mailing address
4204 ETHAN THOMAS DR, CLINTON, MD 20735-4431
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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