Organization
OAC ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEDEJI CHARLES OLAGUNJU (OWNER)
(240) 505-5158
Entity
Organization
Contact information
Practice address
415 70TH ST, CAPITOL HEIGHTS, MD 20743-2239
(240) 505-5158
(240) 200-8712
Mailing address
415 70TH ST, CAPITOL HEIGHTS, MD 20743-2239
(240) 505-5158
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568931905
—
MD
Enumeration date
06/25/2019
Last updated
06/25/2019
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