Organization
OUTREACH & ESCORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN CUSTODIO (CEO)
(408) 678-8585
Entity
Organization
Contact information
Practice address
2221 OAKLAND RD STE 200, SAN JOSE, CA 95131-1415
(408) 678-8585
Mailing address
2221 OAKLAND RD STE 200, SAN JOSE, CA 95131-1415
(408) 678-8585
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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