Organization
SHABACH TRANSPORT, INC.
Active
Organization
SHABACH TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL A NIMAKO (CEO)
(540) 670-3844
Entity
Organization
Contact information
Practice address
2222 COLTS NECK RD, HERNDON, VA 20191-2843
(703) 429-1130
Mailing address
5525 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4527
(540) 670-3844
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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