Organization
AZ WIDE TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KOKO (OWNER)
(480) 521-1305
Entity
Organization
Contact information
Practice address
4404 W BETHANY HOME RD APT 57, GLENDALE, AZ 85301-5423
(480) 351-1305
Mailing address
4404 W BETHANY HOME RD APT 57, GLENDALE, AZ 85301-5423
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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