Organization
BLUE VILLAGE TRANSPORTATION LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE ALEXANDER ORTIZ (PRESIDENT)
(786) 355-5917
Entity
Organization
Contact information
Practice address
1105 6TH AVE S APT 3308, LAKE WORTH, FL 33460-4318
(786) 355-5917
Mailing address
1105 6TH AVE S APT 3308, LAKE WORTH, FL 33460-4318
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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