Organization
SELFLESS SERVICE TRANSPORTATION LLC
Active
Parent organization
SOUTHEASTRANS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTRANS, INC
Authorized official
LEVETTE DENISE NICHOLS (CEO/PRESIDENT)
(757) 685-5991
Entity
Organization
Contact information
Practice address
523 APPOMATTOX ST, NORFOLK, VA 23523-1616
(757) 685-5991
Mailing address
523 APPOMATTOX ST, NORFOLK, VA 23523-1616
(757) 685-5991
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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