Organization
PANOLIA MEDIFLEET LLC
Active
Organization
PANOLIA MEDIFLEET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENAYI SIACHAKANZWA (OWNER)
(469) 615-9583
Entity
Organization
Contact information
Practice address
3626 N HALL ST STE 610, DALLAS, TX 75219-5131
(682) 399-7053
(682) 399-7053
Mailing address
3626 N HALL ST STE 610, DALLAS, TX 75219-5131
(682) 399-7053
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/29/2024
Last updated
07/25/2024
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