Organization
VAUGHSERENITY TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS O FAIN (OWNER)
(469) 767-2417
Entity
Organization
Contact information
Practice address
2 N JACKSON ST STE 605B, MONTGOMERY, AL 36104-3821
(469) 767-2417
Mailing address
2 N JACKSON ST STE 605B, MONTGOMERY, AL 36104-3821
(469) 767-2417
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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