Organization
EBENEZER OPERATIONS INC.
Active
Other names
RaphaRide Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
UTOMWEN TESSY AIKPITANYI (PRESIDENT)
(682) 347-2228
Entity
Organization
Contact information
Practice address
1500 GRASSY VIEW DR, FORT WORTH, TX 76177-7550
(682) 347-2228
Mailing address
213 DARLINGTON TRL, FORT WORTH, TX 76131-3583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/27/2024
Last updated
04/01/2024
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