Organization
YELLOW CAB COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN MARVIN LEE (OWNER)
(304) 788-3531
Entity
Organization
Contact information
Practice address
210 E PIEDMONT ST, KEYSER, WV 26726-3125
(304) 788-3531
Mailing address
210 E PIEDMONT ST, KEYSER, WV 26726-3125
(304) 788-3531
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
006514
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146509000
—
WV
Enumeration date
02/27/2007
Last updated
06/17/2008
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