Organization
CHOICE CARE TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASTUOUR MOHAMED (OWNER)
(602) 348-7389
Entity
Organization
Contact information
Practice address
8111 N 19TH AVE, SUIT# 1053, PHOENIX, AZ 85021-5163
(602) 348-7389
Mailing address
8111 N 19TH AVE, SUIT# 1053, PHOENIX, AZ 85021-5163
(602) 348-7389
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L17712538
AZ
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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