Organization
DINEH TRANSPORT LLC
Active
Other names
Smoke Signal Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WARTZ (OWNER)
(928) 725-3960
Entity
Organization
Contact information
Practice address
NORTH OF NAVAJO ROUTE 673, BLUE GAP, AZ 86520-4253
(928) 725-3960
(928) 725-2056
Mailing address
PO BOX 4253, BLUE GAP, AZ 86520-4253
(928) 725-3960
(928) 725-2056
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
L14588250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351068
—
AZ
Enumeration date
05/22/2012
Last updated
05/22/2012
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