Organization
EXTENDING ARMS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA A DOMENECH (MBR)
(407) 970-8921
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR STE 3153, ORLANDO, FL 32804-6350
(407) 970-8921
Mailing address
1317 EDGEWATER DR STE 3153, ORLANDO, FL 32804-6350
(407) 970-8921
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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