Provider Demographics
NPI:1629775804
Name:AMANA TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AMANA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDULKARIM
Authorized Official - Middle Name:ABDURAHIM
Authorized Official - Last Name:ABUALASRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-216-1061
Mailing Address - Street 1:12831 VALLEYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-3368
Mailing Address - Country:US
Mailing Address - Phone:571-216-1061
Mailing Address - Fax:
Practice Address - Street 1:12831 VALLEYWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-3368
Practice Address - Country:US
Practice Address - Phone:571-216-1061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)