Organization
GO SKILLED MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRICE L JEFFERSON (OWNER)
(201) 546-0464
Entity
Organization
Contact information
Practice address
6 BOLDS LN, WOODLAND PARK, NJ 07424-2944
(201) 546-0464
Mailing address
6 BOLDS LN, WOODLAND PARK, NJ 07424-2944
(201) 546-0464
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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