Organization
SENIOR INDEPENDENCE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE S SMITH (OWNER)
(908) 404-0851
Entity
Organization
Contact information
Practice address
250 N TRADE ST STE 205, MATTHEWS, NC 28105-9433
(908) 404-0851
Mailing address
250 N TRADE ST STE 205, PMB142, MATTHEWS, NC 28105
(908) 404-0851
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
03/02/2022
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