Organization
502GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY BISHOP (EXECUTIVE DIRECTOR)
(502) 836-1909
Entity
Organization
Contact information
Practice address
7806 STONYDALE LN, LOUISVILLE, KY 40220-5039
(502) 836-1909
Mailing address
7806 STONYDALE LN, LOUISVILLE, KY 40220-5039
(502) 836-1909
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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