Organization
NUWAVE 4SUPPORT TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERYELEN PERDOMO (CHIEF OPERATING OFFICER)
(413) 302-0912
Entity
Organization
Contact information
Practice address
1190 WORCESTER ST, INDIAN ORCHARD, MA 01151-1402
(413) 302-0976
Mailing address
1190 WORCESTER ST, INDIAN ORCHARD, MA 01151-1402
(413) 302-0976
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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