Organization
MEDTRANS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOROG MAHMOUD (MANGER)
(623) 703-3860
Entity
Organization
Contact information
Practice address
3139 W PARK ST, PHOENIX, AZ 85041-6376
(602) 639-3147
(480) 809-4547
Mailing address
3139 W PARK ST, PHOENIX, AZ 85041-6376
(602) 639-3147
(480) 809-4547
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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