Organization
KHOLBAS INC, DBA SORIBA.ORG TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIMA SORIBA BANGOURA (PRESIDENT)
(206) 293-2275
Entity
Organization
Contact information
Practice address
125 S 600 E APT 3, SALT LAKE CITY, UT 84102-1939
(800) 201-9181
Mailing address
PO BOX 2172, SALT LAKE CITY, UT 84110-2172
(800) 201-9181
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LIC2015-00931
UT
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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