Organization
THE SPIRIT NEVER DIES RESIDENCE
Active
Parent organization
MEDCOVER LLC
Other names
DALLAS DIRECT TRANSPORTATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDCOVER LLC
Authorized official
ABIOLA ISMAEL BUHARI (MANAGING DIRECTOR/PROJECT)
(469) 363-2760
Entity
Organization
Contact information
Practice address
11117 MYRTICE DR, DALLAS, TX 75228-2243
(469) 363-2760
(214) 321-4459
Mailing address
PO BOX 225112, DALLAS, TX 75222-5112
(469) 363-2760
(214) 321-4459
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/03/2009
Last updated
11/04/2009
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