Organization
SUPPORT PLUS TRANSPORTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE NICOLE WILLIAMS LPN (OWNER)
(918) 851-9850
Entity
Organization
Contact information
Practice address
10605 E 33RD ST, TULSA, OK 74146-1810
(918) 851-9850
(918) 610-5451
Mailing address
10605 E 33RD ST, TULSA, OK 74146-1810
(918) 851-9850
(918) 610-5451
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
080045917
OK
347C00000X
Private Vehicle
Primary
080054917
OK
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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