Organization
MED LIFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODIE HARRIS III (PRESIDENT)
(832) 288-0328
Entity
Organization
Contact information
Practice address
1235 N MIDLAND BLVD, NAMPA, ID 83651-1734
(832) 288-0328
Mailing address
6342 E MYSTIC MDW, HOUSTON, TX 77021-2263
(832) 288-0328
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/21/2021
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