Organization
OLYMPIC TRANSPORTATION & INVALID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE NYATOME (OWNER)
(201) 522-6526
Entity
Organization
Contact information
Practice address
105 WOODLAND RD, BLOOMFIELD, NJ 07003-5201
(201) 339-8329
Mailing address
105 WOODLAND RD, BLOOMFIELD, NJ 07003-5201
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8388903
—
NJ
Enumeration date
02/16/2007
Last updated
08/22/2020
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