Organization
COMMUNITY CAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN L NOWATZKI MANAGING MEMBER (MANAGING MEMBER)
(480) 644-1000
Entity
Organization
Contact information
Practice address
1254 W BROADWAY RD, MESA, AZ 85202-1110
(480) 644-1000
Mailing address
1254 W BROADWAY RD, MESA, AZ 85202-1110
(480) 644-1000
(480) 644-1010
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
BMF37026
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
661523
—
AZ
Enumeration date
01/21/2012
Last updated
01/21/2012
Update your record
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