MEDICARE: MEDICAL TRANSPORTATION-TENDER CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1619754538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL TRANSPORTATION-TENDER CARE LLC

Provider Business Mailing Address
First Line	:	2424 GLOUSTER POINTE DR
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22026-3020
Country	:	US
Telephone Number	:	571-424-0446
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 GLOUSTER POINTE DR
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22026-3020
Country	:	US
Telephone Number	:	703-459-3492
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MARIATU KASIM TURAY
Credential	:	NURSE PRACTITIONER
Telephone Number	:	703-705-9500

Provider Enumeration Date	:	09/13/2023
Last Update Date	:	09/16/2023

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