Organization
JORDAN RIVER INC
Active
Organization
JORDAN RIVER INC
Active
Other names
GREEN LINE MEDICAL TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
AIMAN ISMAIL AWADALLAH (PRESIDENT)
(210) 719-2853
Entity
Organization
Contact information
Practice address
4110 ST CHARLES BAY, SAN ANTONIO, TX 78229-2085
(210) 719-2853
Mailing address
4110 ST CHARLES BAY, SAN ANTONIO, TX 78229-2085
(210) 719-2853
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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