Organization
MODELED LIGHT TRANSPORT, LLC
Active
Other names
Modeled Light Transport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
QUINYANA MOSLEY (OWNER/OPERATOR)
(856) 213-7277
Entity
Organization
Contact information
Practice address
6 KILNVIEW AVE, CLAYTON, NJ 08312-2118
(856) 213-7277
Mailing address
6 KILNVIEW AVE, CLAYTON, NJ 08312-2118
(856) 213-7277
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/25/2023
Last updated
07/26/2023
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