Healthcare Provider Details

I. General information

NPI: 1104675156
Provider Name (Legal Business Name): FIRST CLASS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 PALOMINO TRL
ROCKINGHAM VA
22801-3991
US

IV. Provider business mailing address

137 CAHILLE DR
WINCHESTER VA
22602-6797
US

V. Phone/Fax

Practice location:
  • Phone: 540-214-0302
  • Fax:
Mailing address:
  • Phone: 540-771-0507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: OMAR MANSOOR AL SADOON
Title or Position: OWNER
Credential:
Phone: 540-214-0302