Organization
SUPERIOR TRANSPORTATION ALLIANCE
Active
Parent organization
AUDREY'S CARE AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUDREY'S CARE AGENCY
Authorized official
SHANARA MINTZ (OWNER)
(704) 912-9561
Entity
Organization
Contact information
Practice address
5004 SAM RHYNE CT, DALLAS, NC 28034-6400
(704) 912-9561
Mailing address
5004 SAM RHYNE CT, DALLAS, NC 28034-6400
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/16/2023
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