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Organization

ROUTE 66 CAB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY HEATLEY (MANAGER)
(928) 303-7314
Entity
Organization

Contact information

Practice address
3595 E US HIGHWAY 66, KINGMAN, AZ 86409
(928) 681-6600
(877) 774-3392
Mailing address
3595 E US HIGHWAY 66, KINGMAN, AZ 86409
(928) 681-6600
(877) 774-3392

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
09-6258
AZ
344600000X
Taxi
94-6258
AZ

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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