Organization
CENTRAL COAST NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE E MAHAFFEY (OWNER)
(805) 364-0677
Entity
Organization
Contact information
Practice address
200 S 13TH ST STE 107, GROVER BEACH, CA 93433-2262
(805) 364-0677
Mailing address
200 S 13TH ST STE 107, GROVER BEACH, CA 93433-2262
(805) 364-0677
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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