Organization
SAFARI OAKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN AGONGO (MANAGER)
(214) 924-5283
Entity
Organization
Contact information
Practice address
6310 S STATE HIGHWAY 360 APT 1232, GRAND PRAIRIE, TX 75052-8706
(214) 924-5283
Mailing address
PO BOX 492, MANSFIELD, TX 76063-0137
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/11/2025
Last updated
07/30/2025
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