Organization
PRUITT/HENDERSON TRANSPORTATION INC
Active
Parent organization
PRUITT/HENDERSON TRANSPORTATION INC
Other names
Pruitt/Henderson Medical Transportation
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRUITT/HENDERSON TRANSPORTATION INC
Authorized official
MR. ELFERRY PRUITT (C.E.O)
(973) 926-1850
Entity
Organization
Contact information
Practice address
207 VASSAR AVE, FIRST FLOOR, RIGHT, NEWARK, NJ 07112-1727
(973) 926-1850
(973) 926-0512
Mailing address
207 VASSAR AVE, 207 VASSAR AVE, NEWARK, NJ 07112-1727
(973) 926-1850
(973) 926-0512
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5367409
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5367409
—
NJ
Enumeration date
03/31/2008
Last updated
06/17/2008
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