Organization
MOORE TRANSPORT OF OFALLON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEJA ENJOLI MOORE BA (OWNER)
(636) 757-3021
Entity
Organization
Contact information
Practice address
7597 PIERSIDE DR, O FALLON, MO 63368-7028
(636) 633-2888
(636) 294-5435
Mailing address
7597 PIERSIDE DR, O FALLON, MO 63368-7028
(636) 633-2888
(636) 294-5435
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PO52355003
MO
Other
Enumeration date
08/05/2010
Last updated
02/20/2013
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