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Organization

SAGE TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA OWUSU (OWNER/AGENCY ADMINISTRATION)
(703) 981-4535
Entity
Organization

Contact information

Practice address
1229 GARRISONVILLE RD STE 204, STAFFORD, VA 22556-3655
(703) 981-4535
Mailing address
1229 GARRISONVILLE RD STE 204, STAFFORD, VA 22556-3655
(703) 981-4535

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11578096
VA SCC
VA
Enumeration date
11/15/2023
Last updated
11/15/2023
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