Organization
HEAVEN AND SAMRI NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILU GEBREYOHANNES VA (OWNER)
(571) 378-0188
Entity
Organization
Contact information
Practice address
4701 N CHAMBLISS ST STE 12, ALEXANDRIA, VA 22312-1702
(571) 378-0188
(571) 648-1862
Mailing address
4701 N CHAMBLISS ST, ALEXANDRIA, VA 22312-1702
(571) 378-0188
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
03/31/2025
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