Organization
FOWLER ENTERPRISE LLC
Active
Other names
elk grove coop cab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELL FOWLER (MANGER/OWNER)
(916) 424-7078
Entity
Organization
Contact information
Practice address
5601 66TH AVE STE B, SACRAMENTO, CA 95823-2648
(916) 670-7078
(916) 421-4042
Mailing address
5601 66TH AVE STE B, SACRAMENTO, CA 95823-2648
(916) 670-7078
(916) 421-4042
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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