Organization
MEDALIFE CARE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAJDI KHDAISH (MANAGER)
(516) 312-5553
Entity
Organization
Contact information
Practice address
6100 SHADY OAKS MANOR DR, FORT WORTH, TX 76135-4149
(516) 312-5553
Mailing address
6100 SHADY OAKS MANOR DR, FORT WORTH, TX 76135-4149
(516) 312-5553
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
Other
Enumeration date
08/24/2021
Last updated
07/16/2026
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