Organization
SJVMPURPOSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOOSMANE DESSOURCES (CEO)
(845) 637-4950
Entity
Organization
Contact information
Practice address
8 LIBERTY ST, WALDEN, NY 12586-1109
(845) 637-4950
Mailing address
8 LIBERTY ST, WALDEN, NY 12586-1109
(845) 637-4950
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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