Organization
CAPITAL CITY TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVANDRICKS STUMON (OWNER)
(501) 940-8282
Entity
Organization
Contact information
Practice address
6400 ABBEY CT, N LITTLE ROCK, AR 72117-2283
(501) 231-8365
Mailing address
6400 ABBEY CT, N LITTLE ROCK, AR 72117-2283
(501) 231-8365
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/02/2022
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