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Organization

AHA LLC

Active
Other names
AHA FAMILY LOGISTIC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA IVETTE MERENDA (OWNER OPERATOR)
(469) 803-0019
Entity
Organization

Contact information

Practice address
3317 PECAN SHADOW WAY, MESQUITE, TX 75181-2941
(469) 803-0019
(469) 327-3007
Mailing address
3317 PECAN SHADOW WAY, MESQUITE, TX 75181-2941
(469) 803-0019
(469) 327-3007

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
BGP9759
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
JHF4367
TX

Other

Enumeration date
08/07/2016
Last updated
03/22/2017
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