Organization
EXTRA CARE TRANSPORTATION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALGASSIMU MONOMA BAH (PRESIDENT)
(267) 970-6582
Entity
Organization
Contact information
Practice address
800 COTTMAN AVE, B-173, PHILADELPHIA, PA 19111-3056
(267) 970-6582
Mailing address
800 COTTMAN AVE, B-173, PHILADELPHIA, PA 19111-3056
(267) 970-6582
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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