Organization
PAUL GIRLS LEGACY TRANSPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA DALE PAUL (ADMINISTRATOR)
(336) 512-6502
Entity
Organization
Contact information
Practice address
1114 SHAW ST, BURLINGTON, NC 27217-1545
(336) 512-6502
Mailing address
1114 SHAW ST, BURLINGTON, NC 27217-1545
(336) 512-6502
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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