Organization
MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION
Active
Other names
MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH NYAMANJIVA (OWNER)
(972) 513-3049
Entity
Organization
Contact information
Practice address
1617 GOLDEN GROVE DR, MESQUITE, TX 75149-1860
(972) 513-3049
Mailing address
1617 GOLDEN GROVE DR, MESQUITE, TX 75149-1860
(972) 513-3049
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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