MEDICARE: SNG TRANSPORTATION SEVCIES 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	:	1871377325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNG TRANSPORTATION SEVCIES LLC

Provider Business Mailing Address
First Line	:	4104 ELMSWELL DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-4944
Country	:	US
Telephone Number	:	804-938-7716
Fax Number	:

Provider Business Practice Location Address
First Line	:	4104 ELMSWELL DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-4944
Country	:	US
Telephone Number	:	804-938-7716
Fax Number	:

Authorized Official
Title or Position	:	CORDINATOR/ OPS MANAGER
Name	:	GERALD EDWARD TAYLOR
Credential	:
Telephone Number	:	804-938-7716

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	08/23/2023

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