Organization
PEACEINVALIDCOACHINC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA AHMED (OWNER)
(201) 217-1550
Entity
Organization
Contact information
Practice address
1330 REV S HOWARD WOODSON JR WAY, 4, TRENTON, NJ 08638-4018
(609) 656-2244
(609) 656-4288
Mailing address
845 BERGEN AVE, 190, JERSEY CITY, NJ 07306-4517
(201) 217-1550
(201) 217-1590
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7096801
—
NJ
Enumeration date
04/10/2007
Last updated
08/22/2020
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