Organization
A SHEPHERDS PROVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERVE NOEL GAILLARD (CEO)
(908) 220-6442
Entity
Organization
Contact information
Practice address
5874 BROOKSTONE DR NW, CONCORD, NC 28027-2535
(908) 220-6442
Mailing address
5874 BROOKSTONE DR NW, CONCORD, NC 28027-2535
(908) 220-6442
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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