Organization
EAGLE SPIRIT TRANSPORTATION
Active
Other names
Eagle Spirit Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BETANCES (CHIEF OPERATING OFFICER)
(774) 701-9447
Entity
Organization
Contact information
Practice address
16 ASHMONT AVE APT 2, WORCESTER, MA 01610-2886
(774) 701-9447
Mailing address
16 ASHMONT AVE APT 2, WORCESTER, MA 01610-2886
(774) 701-9447
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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