Organization
BROHAWK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELASSIE FOX (PRESIDENT)
(310) 683-8803
Entity
Organization
Contact information
Practice address
15804 ALAMEDA DR, BOWIE, MD 20716-1306
(310) 683-8803
Mailing address
15804 ALAMEDA DR, BOWIE, MD 20716-1306
(310) 683-8803
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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