Organization
PACALO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD RUZVIDZO (OWNER)
(614) 962-2328
Entity
Organization
Contact information
Practice address
1806 PIER WAY, BLOOMINGTON, IL 61704-9517
(614) 962-2328
Mailing address
1806 PIER WAY, BLOOMINGTON, IL 61704-9517
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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