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Organization

MIDTOWN OASIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATARSHA RENEE JACKSON (OWNER)
(919) 255-5206
Entity
Organization

Contact information

Practice address
106 SIR SCOTT, KNIGHTDALE, NC 27545-9695
(919) 255-5206
Mailing address
106 SIR SCOTT, KNIGHTDALE, NC 27545-9695
(919) 255-5206

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
342000000X
Transportation Network Company
Primary
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
347E00000X
Transportation Broker

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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