Provider Demographics
NPI:1245634344
Name:DUNAMIS TRANSIT SERVICE LLC
Entity type:Organization
Organization Name:DUNAMIS TRANSIT SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELVIS
Authorized Official - Middle Name:FLEETWOOD
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-638-4009
Mailing Address - Street 1:2204 WESTOVER AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-3957
Mailing Address - Country:US
Mailing Address - Phone:804-638-4009
Mailing Address - Fax:804-226-1870
Practice Address - Street 1:2204 WESTOVER AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-3957
Practice Address - Country:US
Practice Address - Phone:804-638-4009
Practice Address - Fax:804-226-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)