Organization
MOORE TRANSPORT OF OFALLON LLC
Active
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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