Healthcare Provider Details

I. General information

NPI: 1366389504
Provider Name (Legal Business Name): EZ TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10215 GUYANA CT
HENRICO VA
23233-2761
US

IV. Provider business mailing address

10215 GUYANA CT
HENRICO VA
23233-2761
US

V. Phone/Fax

Practice location:
  • Phone: 804-779-5337
  • Fax:
Mailing address:
  • Phone: 804-779-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WORKNEH ABATE
Title or Position: MANAGER
Credential:
Phone: 804-779-5337