Organization
APPLE EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARTUN ALI (CEO)
(971) 359-7161
Entity
Organization
Contact information
Practice address
4214 W IRWIN AVE, PHOENIX, AZ 85041-6088
(480) 819-7212
Mailing address
825 NE 20TH AVE STE 320, PORTLAND, OR 97232-2275
(971) 359-7161
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
08/30/2023
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