Organization
FULL OF GREATS TRANSPORT LLC FOG TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRREIA S HURT (MEMBER)
(505) 307-9984
Entity
Organization
Contact information
Practice address
6609 W BROOKHART WAY, PHOENIX, AZ 85083-7403
(505) 307-9984
(480) 718-7714
Mailing address
6609 W BROOKHART WAY, PHOENIX, AZ 85083-7403
(505) 307-9984
(480) 718-7714
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/21/2020
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