Organization
NN TRANSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAISAL ABDELSHAFIE ABDELMOULA (OWNER)
(623) 326-8363
Entity
Organization
Contact information
Practice address
4105 W YUKON DR, GLENDALE, AZ 85308-4600
(623) 326-8363
Mailing address
4105 W YUKON DR, GLENDALE, AZ 85308-4600
(623) 326-8363
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
558262
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781899
ACCCS
AZ
Enumeration date
02/17/2013
Last updated
02/17/2013
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