Organization
PRIME MOBILITY ASSIST. VEHICLE INC
Active
Organization
PRIME MOBILITY ASSIST. VEHICLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRICO L LLANES (PRESIDENT)
(201) 435-3388
Entity
Organization
Contact information
Practice address
39 TERHUNE AVE, JERSEY CITY, NJ 07305-2009
(201) 435-3388
(201) 435-5700
Mailing address
39 TERHUNE AVE, JERSEY CITY, NJ 07305-2009
(201) 435-3388
(201) 435-5700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7694202
—
NJ
Enumeration date
04/02/2008
Last updated
04/02/2008
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