Organization
CARE VAN INCORPORATED
Active
Organization
CARE VAN INCORPORATED
Active
Other names
Care Van
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY K. THESMAN (PRESIDENT)
(818) 502-0353
Entity
Organization
Contact information
Practice address
1847 DANA ST, GLENDALE, CA 91201-2044
(818) 502-0353
(818) 502-0147
Mailing address
1847 DANA ST, GLENDALE, CA 91201-2044
(818) 502-0353
(818) 502-0147
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00971F
—
CA
Enumeration date
08/17/2006
Last updated
08/22/2020
Update your record
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