Organization
GULF COAST VALUE CAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SMITH (OWNER)
(228) 234-7433
Entity
Organization
Contact information
Practice address
12496 PERKINS LN, GULFPORT, MS 39503-9347
(228) 234-7433
Mailing address
13701 BRIARWOOD DR, OCEAN SPRINGS, MS 39565-6140
(228) 234-7433
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
18-1021
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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