Organization
GREENGO SUPREME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDURAUF SAIDJANOV (CEO)
(267) 235-4255
Entity
Organization
Contact information
Practice address
743 HOPKINS AVE, BENSALEM, PA 19020-5735
(267) 235-4255
Mailing address
743 HOPKINS AVE, BENSALEM, PA 19020-5735
(267) 235-4255
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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