Organization
WELLCARE MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONFA HORDOFA GUTA (GENERAL PARTNER)
(240) 705-0421
Entity
Organization
Contact information
Practice address
7213 LINDA TRCE, REYNOLDSBURG, OH 43068-9411
(240) 705-0421
Mailing address
7213 LINDA TRCE, REYNOLDSBURG, OH 43068-9411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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