Organization
ALLIANCE COASTAL TRANSIT LLC
Active
Parent organization
BAY AREA DIRECT CLIENT CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA DIRECT CLIENT CARE LLC
Authorized official
DESHAE MARTIN (CHIEF EXECUTIVE OFFICER)
(813) 679-5122
Entity
Organization
Contact information
Practice address
110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
(813) 679-5122
Mailing address
2105 ROANOKE SPRINGS DR, RUSKIN, FL 33570-6312
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
06/27/2024
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