Organization
CORACOL MEDTRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAMA PETERS (OWNER)
(571) 477-2730
Entity
Organization
Contact information
Practice address
2551 SYLVAN MOOR LN, WOODBRIDGE, VA 22191-6327
(571) 477-2730
Mailing address
2551 SYLVAN MOOR LN, WOODBRIDGE, VA 22191-6327
(571) 477-2730
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
01/21/2022
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