Organization
LIGHTYEAR COMMUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA MELLANSON QMHP (OWNER)
(804) 256-8533
Entity
Organization
Contact information
Practice address
11300 IRON BRIDGE RD STE D, CHESTER, VA 23831-1428
(804) 256-8533
(804) 362-9003
Mailing address
PO BOX 1613, CHESTERFIELD, VA 23832-9125
(804) 256-8533
(804) 362-9003
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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