Organization
IMMACULATE CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INDIA CASTELLOW RN, BSN (PRESIDENT)
(757) 778-3400
Entity
Organization
Contact information
Practice address
1041 BAY BREEZE DR, SUFFOLK, VA 23435-3273
(919) 222-7602
Mailing address
1041 BAY BREEZE DR, SUFFOLK, VA 23435-3273
(757) 778-3400
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/20/2020
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