Organization
COUNTY CARE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IMOGENE SPERANZA CARLOS EMT (MANAGER)
(510) 937-6900
Entity
Organization
Contact information
Practice address
3700 DELTA FAIR BLVD STE 201B, ANTIOCH, CA 94509-4074
(510) 937-6900
Mailing address
3700 DELTA FAIR BLVD STE 201B, ANTIOCH, CA 94509-4074
(510) 937-6900
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/27/2025
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