Organization
CLEAN AIR CAB, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BENNETT (MARKETING MANAGER)
(480) 266-5129
Entity
Organization
Contact information
Practice address
1600 W MAIN ST, MESA, AZ 85201-6911
(480) 777-9777
(480) 339-8299
Mailing address
1600 W MAIN ST, MESA, AZ 85201-6911
(480) 777-9777
(480) 339-8299
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
34218
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482222
AHCCCS
—
Enumeration date
01/04/2010
Last updated
01/04/2010
Update your record
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