Organization
BREAKTHRU, LLC
Active
Other names
Majestic Transport Services
Organization subpart
No
Provider details
NPI number
Authorized official
OLU W OMODARA (OWNER/GENERAL MGR.)
(623) 521-5856
Entity
Organization
Contact information
Practice address
14435 W VERDE LN, GOODYEAR, AZ 85395-8335
(623) 521-5856
Mailing address
14435 W VERDE LN, GOODYEAR, AZ 85395-8335
(623) 521-5856
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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