Organization
DESERT BREEZE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL L WRIGHT JR. (EXECUTIVE DIRECTOR)
(602) 308-4502
Entity
Organization
Contact information
Practice address
921 W CAMELBACK RD, PHOENIX, AZ 85013-2208
(602) 308-4502
Mailing address
921 W CAMELBACK RD, PHOENIX, AZ 85013-2208
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D00045319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
694617
AHCCCS
AZ
Enumeration date
07/08/2015
Last updated
07/08/2015
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