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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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