Organization
HIS FATE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE E FATE (OWNER)
(336) 899-9412
Entity
Organization
Contact information
Practice address
1431 BRAGG CT, HIGH POINT, NC 27265-3307
(336) 899-9412
Mailing address
1431 BRAGG CT, HIGH POINT, NC 27265-3307
(336) 899-9412
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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