Provider Demographics
NPI:1164194262
Name:STARLIGHT TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:STARLIGHT TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMINATA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-722-8122
Mailing Address - Street 1:8711 PLANTATION LN STE 301
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8322
Mailing Address - Country:US
Mailing Address - Phone:703-722-8122
Mailing Address - Fax:703-722-0778
Practice Address - Street 1:8711 PLANTATION LN STE 301
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8322
Practice Address - Country:US
Practice Address - Phone:703-722-8122
Practice Address - Fax:703-722-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)