Healthcare Provider Details

I. General information

NPI: 1760311054
Provider Name (Legal Business Name): ACTION MOBILITY TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 DUTCHESS CT
OLNEY MD
20832-1727
US

IV. Provider business mailing address

22 DUTCHESS CT
OLNEY MD
20832-1727
US

V. Phone/Fax

Practice location:
  • Phone: 240-653-6862
  • Fax:
Mailing address:
  • Phone: 240-653-6862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MARIAMA KOROMA
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-653-6862