Organization
EXTENDED FAMILY MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MONIQUE EDWARDS (OWNER)
(757) 714-2255
Entity
Organization
Contact information
Practice address
1117 VALLEY DR UNIT 3463, NORFOLK, VA 23502-2414
(757) 813-3814
Mailing address
1105 HUGO ST, NORFOLK, VA 23513-3357
(757) 714-2255
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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