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Roderick Tirell Harris SR.
Non-emergency Medical Transport (VAN) in Suffolk, Virginia
NPI 1083188627

Roderick Tirell Harris SR. is a Non-emergency Medical Transport (VAN) based in Suffolk, VA. Roderick Tirell Harris SR. practices in Suffolk, VA. The NPI Number for Roderick Tirell Harris SR. is 1083188627 and holds a License No. T61549889 (Virginia).

The current practice location address for Roderick Tirell Harris SR. is 6117 Cushing St, Suffolk, VA and can be reached out via phone at 757-724-4605 and via fax at 757-967-0606.

Location: 6117 Cushing St, Suffolk, VA, 23435-3440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083188627
Provider Name
Roderick Tirell Harris SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6117 Cushing St, Suffolk, VA, 23435-3440
Phone Number
757-724-4605
Fax Number
757-967-0606
Provider Enumeration Date
01/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6117 Cushing St
City
Suffolk
State
Virginia
Zip
23435-3440
Phone Number
757-724-4605
Fax Number
757-967-0606
person
Provider Business Mailing Address Details
Address
6117 Cushing St
City
Suffolk
State
Virginia
Zip
23435-3440
Phone Number
757-724-4605
Fax Number
757-967-0606
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
T61549889 (Virginia)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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