Organization
PROFESSIONAL AND CONVENIENT NON EMERGENCY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNARD MALONE SR. (OWNER)
(574) 849-2746
Entity
Organization
Contact information
Practice address
3604 CORTLAND DR, ELKHART, IN 46514-4494
(574) 849-2746
Mailing address
3604 CORTLAND DR, ELKHART, IN 46514-4494
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
428071
IN
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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