Organization
NETCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES REEDY (PRESIDENT)
(760) 946-1379
Entity
Organization
Contact information
Practice address
16131 MUNI RD, UNIT D, APPLE VALLEY, CA 92307-0813
(760) 946-1379
(760) 242-7604
Mailing address
16131 MUNI RD, UNIT D, APPLE VALLEY, CA 92307-0813
(760) 946-1379
(760) 242-7604
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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