Organization
KINTUADI COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSUE MUKUNA (OWNER)
(682) 341-1049
Entity
Organization
Contact information
Practice address
624 E BALTIMORE AVE, FORT WORTH, TX 76104-5018
(682) 341-1049
Mailing address
624 E BALTIMORE AVE, FORT WORTH, TX 76104-5018
(682) 341-1049
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/06/2022
Last updated
05/02/2023
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