Organization
LIFE SERVICES &TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONZA COLEMAN (PRESIDENT)
(434) 272-9342
Entity
Organization
Contact information
Practice address
2075 MOUNTAIN ROAD, HALIFAX, VA 24558
(434) 272-9342
Mailing address
1100 BILL TUCK HWY, SOUTH BOSTON, VA 24592-7138
(434) 272-9342
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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