MEDICARE: RICHMOND LOGISTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	344600000X	Taxi
3	347B00000X	Bus
4	347E00000X	Transportation Broker
5	251B00000X	Case Management Agency
6	333300000X	Emergency Response System Companies
7	341600000X	Ambulance
8	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1447026810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHMOND LOGISTICS LLC

Provider Business Mailing Address
First Line	:	2555 FLAT SHOALS RD APT 1802
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4373
Country	:	US
Telephone Number	:	678-707-1340
Fax Number	:	770-825-9272

Provider Business Practice Location Address
First Line	:	2555 FLAT SHOALS RD APT 1802
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4373
Country	:	US
Telephone Number	:	678-707-1340
Fax Number	:	770-825-9272

Authorized Official
Title or Position	:	MANAGER DIRECTOR
Name	:	MR. JONATHAN RICHMOND
Credential	:
Telephone Number	:	678-707-1340

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	03/06/2024

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Directions to “RICHMOND LOGISTICS LLC ” Practice Location

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