Healthcare Provider Details

I. General information

NPI: 1700247442
Provider Name (Legal Business Name): EYPC TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 DETROIT AVE
RICHMOND VA
23222-4134
US

IV. Provider business mailing address

3202 DETROIT AVE
RICHMOND VA
23222-4134
US

V. Phone/Fax

Practice location:
  • Phone: 804-301-0119
  • Fax:
Mailing address:
  • Phone: 804-301-0119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number388
License Number StateVA

VIII. Authorized Official

Name: TOWANDA DARDEN
Title or Position: AST. DIRECTOR
Credential:
Phone: 804-908-6088