Organization
ELAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIENNE GELLERT (CEO)
(602) 384-1432
Entity
Organization
Contact information
Practice address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 384-1432
Mailing address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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