Organization
PICCADILLY TRANSPORT LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NWACHUKWU J EKEOCHA (VICE PRESIDENT)
(469) 386-5476
Entity
Organization
Contact information
Practice address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(469) 386-5476
Mailing address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(469) 386-5476
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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