Organization
DEEBAMOU MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN M WILSON (MANAGER)
(502) 797-8616
Entity
Organization
Contact information
Practice address
4108 DOVER RD, LOUISVILLE, KY 40216-3526
(502) 797-8616
Mailing address
4108 DOVER RD, LOUISVILLE, KY 40216-3526
(502) 797-8616
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
08/01/2022
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