Organization
LARGO TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJA SHOLK (OWNER)
(951) 385-9359
Entity
Organization
Contact information
Practice address
510 STEWART ST, FORT BRAGG, CA 95437-3207
(951) 385-9359
Mailing address
510 STEWART ST, FORT BRAGG, CA 95437-3207
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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