Organization
VINE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY LATICIA PURNELL (OWNER)
(732) 485-3758
Entity
Organization
Contact information
Practice address
12 JANSEN AVE, WOODBRIDGE, NJ 07095-2504
(732) 485-3758
(732) 874-5041
Mailing address
12 JANSEN AVE, WOODBRIDGE, NJ 07095-2504
(732) 485-3758
(732) 874-5041
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
343800000X
NJ
Other
Enumeration date
03/07/2016
Last updated
03/16/2016
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