Healthcare Provider Details

I. General information

NPI: 1619016110
Provider Name (Legal Business Name): OLAMAC TRANSPOTATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8647 GREENBELT RD APT 101
GREENBELT MD
20770-2416
US

IV. Provider business mailing address

8647 GREENBELT RD APT 101
GREENBELT MD
20770-2416
US

V. Phone/Fax

Practice location:
  • Phone: 202-207-5588
  • Fax: 301-552-5068
Mailing address:
  • Phone: 202-207-5588
  • Fax: 301-552-5068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. OLAKUNLE MACANTHONY
Title or Position: PRESIDENT
Credential:
Phone: 202-207-5588