Organization
MO ON THE GO TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE ANGELIQUE NOVOTNY (OWNER)
(541) 508-6584
Entity
Organization
Contact information
Practice address
52579 KENAI SPUR HIGHWAY, NIKISKI, AK 99635
(907) 252-5010
Mailing address
PO BOX 7319, NIKISKI, AK 99635-7319
(541) 508-6584
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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