Healthcare Provider Details

I. General information

NPI: 1720537772
Provider Name (Legal Business Name): DART TRANSPORTATIONLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 09/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 THE HOOK RD
WARSAW VA
22572-3823
US

IV. Provider business mailing address

485 THE HOOK RD
WARSAW VA
22572-3823
US

V. Phone/Fax

Practice location:
  • Phone: 804-241-5821
  • Fax:
Mailing address:
  • Phone: 804-241-5821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: DONALD BOYD
Title or Position: CEO
Credential:
Phone: 804-241-5821