Organization
WILSON'S ABBEY MEDI CAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ANN WILSON (OWNER)
(559) 594-4716
Entity
Organization
Contact information
Practice address
160 S E ST, EXETER, CA 93221-1731
(559) 594-4716
(559) 592-4953
Mailing address
PO BOX 291, EXETER, CA 93221-0291
(559) 594-4716
(559) 592-4953
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01114F
—
CA
Enumeration date
11/17/2006
Last updated
04/29/2009
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