Organization
LUXURY 12 MOBILE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYONNA BELK (CEO)
(314) 359-2408
Entity
Organization
Contact information
Practice address
6424 MOUNT AVE, SAINT LOUIS, MO 63121-5717
(314) 359-2408
Mailing address
6424 MOUNT AVE, SAINT LOUIS, MO 63121-5717
(314) 359-2408
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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