Organization
MOBILE WELLNESS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY M DISMUKE JR. (AUTHORIZED OFFICIAL)
(248) 906-5741
Entity
Organization
Contact information
Practice address
3 S LAVEEN PL, CHANDLER, AZ 85226-5050
(248) 906-5741
Mailing address
3 S LAVEEN PL, CHANDLER, AZ 85226-5050
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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