Organization
VANGUARD TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN THOMAS PEPPERL (OWNER)
(804) 640-9429
Entity
Organization
Contact information
Practice address
10712 PRUETT LN, GLEN ALLEN, VA 23059-4554
(804) 640-9429
Mailing address
10712 PRUETT LN, GLEN ALLEN, VA 23059-4554
(804) 640-9429
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
647
VA
Other
Enumeration date
02/09/2018
Last updated
04/14/2020
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