Organization
BONAFIDE BOHEMIAN LLC
Active
Other names
CLH Transport & Courier
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUANDRIA CONNALLY (OWNER)
(214) 672-3944
Entity
Organization
Contact information
Practice address
4859 CEDAR SPRINGS RD #251, DALLAS, TX 75219
(214) 672-3944
Mailing address
4859 CEDAR SPRINGS RD APT 251, DALLAS, TX 75219-1291
(214) 672-3944
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
01/23/2025
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