Organization
AVILA MEDICAL TRANSPORT LLC
Active
Other names
Avila Medical Transport LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ARIAS (MANAGER)
(970) 230-7286
Entity
Organization
Contact information
Practice address
2813 DAY BREAK AVE, GRAND JUNCTION, CO 81506-4888
(970) 210-7083
Mailing address
2813 DAY BREAK AVE, GRAND JUNCTION, CO 81506-4888
(970) 210-7083
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143948
—
CO
Enumeration date
10/09/2018
Last updated
10/09/2018
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