Organization
GRANGER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZAMON ARIEL GRANGER (OWNER)
(601) 888-0505
Entity
Organization
Contact information
Practice address
16 FLOWER LN, WOODVILLE, MS 39669
(601) 888-0505
Mailing address
11633 VEIRS MILL RD, SILVER SPRING, MD 20902-2428
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
08/29/2018
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