Organization
THE GREEN WAVE PROJECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN KNOLL (CEO)
(508) 735-8044
Entity
Organization
Contact information
Practice address
8 STARK RD, WORCESTER, MA 01602-4127
(508) 735-8044
(508) 798-0867
Mailing address
8 STARK RD, WORCESTER, MA 01602-4127
(508) 735-8044
(508) 798-0867
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
3027345
MA
343800000X
Secured Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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