Organization
TRAVELING MERCY CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAULETTE MOSES (OWNER)
(757) 609-7037
Entity
Organization
Contact information
Practice address
10510 TWIN PONDS DR., WINDSOR, VA 23487
(757) 609-7037
Mailing address
10510 TWIN PONDS DR, WINDSOR, VA 23487-5448
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
000620
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
VA
Enumeration date
08/03/2017
Last updated
08/03/2017
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