Organization
BLACK SPECIALTY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT J BLACK (OWNER)
(623) 887-0425
Entity
Organization
Contact information
Practice address
6826 S 44TH LANE, LAVEEN, AZ 85339
(623) 887-0425
(623) 887-0429
Mailing address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(623) 887-0425
(623) 887-0429
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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