Organization
STATEWIDE TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMON PANGALALA (CEO)
(234) 788-5311
Entity
Organization
Contact information
Practice address
5679 ALTEN ST, PORTAGE, MI 49024-9504
(234) 788-5311
Mailing address
5679 ALTEN ST, PORTAGE, MI 49024-9504
(234) 788-5311
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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