Organization
RENOVA MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANUEAL G FISSHA (OWNER)
(240) 338-9043
Entity
Organization
Contact information
Practice address
7777 MAPLE AVE, TAKOMA PARK, MD 20912-5639
(240) 338-9043
Mailing address
7777 MAPLE AVE, TAKOMA PARK, MD 20912-5639
(240) 338-9043
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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