Organization
ASSISTED LIVING LOCATORS-TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM GILBERT (OWNER)
(928) 533-7221
Entity
Organization
Contact information
Practice address
5760 S ELAND DR, FORT MOHAVE, AZ 86426-9293
(928) 533-7221
(888) 503-3633
Mailing address
PO BOX 8625, FORT MOHAVE, AZ 86427-8625
(928) 533-7221
(888) 503-3633
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
20634211
AZ
347C00000X
Private Vehicle
Primary
20634211
AZ
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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