Organization
ANDERSON TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA W ANDERSON (MANAGER)
(505) 592-9540
Entity
Organization
Contact information
Practice address
NHA MH#39, TEEC NOS POS, AZ 86514
(505) 592-9540
Mailing address
PO BOX 1476, NHA #MH39, TEEC NOS POS, AZ 86514-1476
(505) 592-9541
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D08446055
AZ
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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