Organization
HOLLY SPRINGS MEDICAL TRANSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURULAYO HUNTAR (PRESIDENT)
(951) 530-1334
Entity
Organization
Contact information
Practice address
29027 ALICANTE AVE, MORENO VALLEY, CA 92555-7301
(951) 530-1334
(951) 443-5248
Mailing address
29027 ALICANTE AVE, MORENO VALLEY, CA 92555-7301
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C3198175
CA
Other
Enumeration date
05/25/2009
Last updated
05/25/2009
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