Organization
MOBILE CARE TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DACKERY GLENN HARDEMAN (PRESIDENT)
(916) 501-7732
Entity
Organization
Contact information
Practice address
7200 JACINTO AVE, #15205, SACRAMENTO, CA 95823-7555
(916) 501-7732
Mailing address
8250 CALVINE RD, BOX 253, SACRAMENTO, CA 95828-9313
(916) 501-7732
(916) 583-7571
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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