Organization
SHALOM MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNSON SERIEUX MUKIZA (CO-OWNER)
(131) 938-3941
Entity
Organization
Contact information
Practice address
4567 WYNDTREE DR APT 137, WEST CHESTER, OH 45069-8604
(602) 796-9726
Mailing address
4567 WYNDTREE DR APT 137, WEST CHESTER, OH 45069-8604
(602) 796-9726
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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