Provider Demographics
NPI:1144422064
Name:CARRYCARE INC
Entity type:Organization
Organization Name:CARRYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:KOMI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEDDOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-494-3911
Mailing Address - Street 1:12324 TIDESWELL MILL CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5555
Mailing Address - Country:US
Mailing Address - Phone:202-494-3911
Mailing Address - Fax:703-730-3199
Practice Address - Street 1:12324 TIDESWELL MILL CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5555
Practice Address - Country:US
Practice Address - Phone:202-494-3911
Practice Address - Fax:703-730-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAF158912-8343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)