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Organization

OUR HOUSE TRANSPORTATION

Active
Parent organization
OUR HOUSE TRANSPORTATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
OUR HOUSE TRANSPORTATION
Authorized official
BARBARA W. SHALWAN (ADMINISTRATOR)
(310) 763-4998
Entity
Organization

Contact information

Practice address
1123 E DOMINGUEZ ST., SUITE B & C, CARSON, CA 90746
(310) 763-4998
(310) 886-3064
Mailing address
1123 E DOMINGUEZ ST., SUITE B & C, CARSON, CA 90746
(310) 763-4998
(310) 886-3064

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
T66729
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HX0402
VENDOR #
CA
Enumeration date
12/11/2008
Last updated
12/11/2008
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