Organization
SHALASH MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM SHALASH (OWNER)
(614) 271-0330
Entity
Organization
Contact information
Practice address
6449 W GLENDALE AVE, GLENDALE, AZ 85301-2310
(614) 271-0330
Mailing address
1920 W KINFIELD TRL, PHOENIX, AZ 85085-8674
(614) 271-0330
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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