Healthcare Provider Details

I. General information

NPI: 1255983193
Provider Name (Legal Business Name): FRIENDS NEMT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 LITTLE RIVER TPKE
ANNANDALE VA
22003-2305
US

IV. Provider business mailing address

10806A HENDERSON RD
FAIRFAX STATION VA
22039-2226
US

V. Phone/Fax

Practice location:
  • Phone: 571-294-3772
  • Fax: 571-350-8225
Mailing address:
  • Phone: 571-251-1591
  • Fax: 571-350-8225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: DAN-SUNG CHO
Title or Position: PRESIDENT
Credential:
Phone: 571-251-1591