Organization
GO EZ TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA FULLER (PRESIDENT AND CEO)
(910) 904-2552
Entity
Organization
Contact information
Practice address
416 LOUISIANA DR, RAEFORD, NC 28376-6023
(877) 387-6156
(877) 456-6002
Mailing address
416 LOUISIANA DR, RAEFORD, NC 28376-6023
(877) 387-6156
(877) 456-6002
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MC 677443
NC
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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