Organization
TLC MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHANTAL LOUISON (CEO)
(347) 876-9147
Entity
Organization
Contact information
Practice address
1707 CHERRY ST, HIGHLAND PARK, NJ 08904-3718
(732) 985-5787
(732) 985-5760
Mailing address
1707 CHERRY ST, HIGHLAND PARK, NJ 08904-3718
(732) 985-5787
(732) 985-5760
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100613
NJ
Other
Enumeration date
10/29/2013
Last updated
12/03/2013
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