Organization
KLDW ENTERPRISES LLC
Active
Other names
Western Van Service
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J SMITH (VICE PRESIDENT)
(360) 466-8808
Entity
Organization
Contact information
Practice address
1320 S 13TH ST, MOUNT VERNON, WA 98274-5104
(360) 661-6004
(360) 423-4912
Mailing address
1320 S 13TH ST, MOUNT VERNON, WA 98274-5104
(360) 661-6004
(360) 423-4912
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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