Organization
ROADRUNNER MEDICAL TRANSPORTATION SERVICE
Active
Parent organization
SANCTUARY 1 ASSISTED LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANCTUARY 1 ASSISTED LIVING
Authorized official
MR. KEVIN L WILLIAMS (OWNER)
(623) 434-2185
Entity
Organization
Contact information
Practice address
3870 W ALAMEDA RD, GLENDALE, AZ 85310-3302
(623) 434-2185
(623) 434-2185
Mailing address
3870 W ALAMEDA RD, GLENDALE, AZ 85310-3302
(623) 434-2185
(623) 434-2185
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D02721811
AZ
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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