Organization
AVODAH TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACQUELL RIDGILL RN (OWNER)
(609) 510-7216
Entity
Organization
Contact information
Practice address
1854 LANTANA DR, WINSTON SALEM, NC 27127-7541
(160) 951-0721
Mailing address
1854 LANTANA DR, WINSTON SALEM, NC 27127-7541
(160) 951-0721
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/26/2022
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