Organization
DLK PRIME TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KWAKU GBEDIAME (CEO OWNER/ OPERATOR)
(910) 221-9431
Entity
Organization
Contact information
Practice address
1908 HARCOURT CIR, APT 104, FAYETTEVILLE, NC 28304-0437
(910) 221-9431
Mailing address
3235 CLIFFDALE RD, FAYETTEVILLE, NC 28303-4936
(910) 221-9431
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
85699867
NC
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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