Organization
PROFESSIONAL AND CONVENIENT NON EMERGENCY TRANSPORTATION
Active
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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