Organization
FOMAK TRANSPORTATION,LLC
Active
Other names
Fomak Transportation,llc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MAHIOKA MBAMBUKULU (OWNER)
(319) 270-1197
Entity
Organization
Contact information
Practice address
1352 WHIPPLE CT, NORTH LIBERTY, IA 52317-4841
(319) 270-1197
Mailing address
1352 WHIPPLE CT, NORTH LIBERTY, IA 52317-4841
(319) 621-8577
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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