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Organization

GLITZY LLC

Active
Other names
Fenix Transportation Services NC LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY CRESPO-BRITO (MANAGING MEMBER)
(910) 835-1001
Entity
Organization

Contact information

Practice address
3034 STODDERT LN, FAYETTEVILLE, NC 28304-4512
(910) 391-4698
Mailing address
3034 STODDERT LN, FAYETTEVILLE, NC 28304-4512
(910) 835-1001

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
05/16/2023
Last updated
07/04/2024
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