Organization
NIZHONI DINE TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERNE JIM (DIRECTOR)
(435) 459-4407
Entity
Organization
Contact information
Practice address
301 S MAIN ST, BLANDING, UT 84511-3831
(435) 459-4407
Mailing address
301 S MAIN ST, BLANDING, UT 84511-3831
(435) 459-4407
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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