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Organization

NAVAJO TRANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NENE BITYA ORIHO (GENERAL MANAGER /OWNER)
(623) 313-3551
Entity
Organization

Contact information

Practice address
2713 W GEORGIA AVE, PHOENIX, AZ 85017-2940
(621) 331-3355
(623) 249-7384
Mailing address
6402 N 46TH DR, GLENDALE, AZ 85301-4809
(623) 313-3551
(623) 249-7384

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L20086745
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
343900000X
AZ
05
L20086745
AZ
Enumeration date
08/14/2015
Last updated
08/14/2015
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