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Organization

STAGECOACH KIMBERLY LIMITED LIABILITY CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY SHONTA STRICKLAND (PRESIDENT)
(252) 290-1470
Entity
Organization

Contact information

Practice address
3834 COUNTRY CLUB DR NW, WILSON, NC 27896-8165
(252) 668-6447
Mailing address
2342 FOREST HILLS RD W # 1031, WILSON, NC 27893-3416
(252) 668-6447

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
12/06/2022
Last updated
12/12/2022
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