Organization
DIAMONDS MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTRELL C MORELAND (CEO)
(602) 910-9659
Entity
Organization
Contact information
Practice address
11417 W EDGEMONT AVE, AVONDALE, AZ 85392-5657
(602) 910-9659
Mailing address
591 E PLAZA CIR UNIT 2133, LITCHFIELD PARK, AZ 85340-7685
(602) 910-9659
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
10/03/2022
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