Organization
ROLSARA SMILE TRANSPORT
Active
Other names
ROLSARA SMILE TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND NDEBANGWEN (OWNER)
(202) 378-4334
Entity
Organization
Contact information
Practice address
11116 NIGHT CAMP DR, AUSTIN, TX 78754-6113
(202) 378-4334
Mailing address
11116 NIGHT CAMP DR, AUSTIN, TX 78754-6113
(202) 378-4334
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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