Organization
TEALLIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MBUYA (GENERAL MANAGER)
(774) 479-2047
Entity
Organization
Contact information
Practice address
121 BACON ST, PAWTUCKET, RI 02860-5542
(774) 479-2047
Mailing address
121 BACON ST, PAWTUCKET, RI 02860-5542
(774) 479-2047
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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