NPI 1780115758
Executive Sedan Services
Practice location
- Address
- 4204 Ethan Thomas Dr, Clinton, MD 20735-4431
- Phone
- (301) 448-7067
Authorised official
- Name
- Shaun Longley
- Title
- Ceo
- Phone
- (301) 448-7067
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1780115758
- Entity type
- Organization
- NPI issued
- 22 Mar 2017
- Record last updated
- 22 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.