Organization
SAFE DRIVE 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAITH ABDALFATTAH ABUOMRAN (MANAGER)
(540) 656-1393
Entity
Organization
Contact information
Practice address
631 FARRELL ROGERS RD, ROCK ISLAND, TN 38581-3642
(540) 656-1393
Mailing address
631 FARRELL ROGERS RD, ROCK ISLAND, TN 38581-3642
(540) 656-1393
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/15/2023
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