Healthcare Provider Details
I. General information
NPI: 1316500960
Provider Name (Legal Business Name): ZAFTIG EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2019
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7909 POINT HOLLOW DR
RICHMOND VA
23227-1675
US
IV. Provider business mailing address
7909 POINT HOLLOW DR
RICHMOND VA
23227-1675
US
V. Phone/Fax
- Phone: 804-591-8097
- Fax:
- Phone: 804-591-8097
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TONYA
MARIE
BURTON
Title or Position: CEO/OWNER
Credential:
Phone: 804-212-8341