Organization
HEALTHY NATION TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELVENA Y JOHNSON (ADMINISTRATOR)
(928) 283-4862
Entity
Organization
Contact information
Practice address
4222 CACTUS LOOP DRIVE, TUBA CITY, AZ 86045
(928) 283-4862
(928) 283-8125
Mailing address
PO BOX 3127, TUBA CITY, AZ 86045-3127
(928) 283-4862
(928) 283-8125
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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