Organization
KG NEMT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOKOE AMELE GALLI (ADMINISTRATOR)
(703) 678-8405
Entity
Organization
Contact information
Practice address
29720 BISON RD, WINCHESTER, CA 92596-3511
(703) 678-8405
Mailing address
29720 BISON RD, WINCHESTER, CA 92596-3511
(703) 678-8405
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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