Organization
AALVINA AND ELIJAH INC
Active
Other names
AALVINA AND ELIJAH INC
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE O GRAY (OWNER/ PRESIDENT)
(817) 909-2280
Entity
Organization
Contact information
Practice address
1848 POTRILLO LN, FORT WORTH, TX 76131-1446
(817) 909-2280
Mailing address
1848 POTRILLO LANE, FORT WORTH, TX 76131-1446
(817) 909-2280
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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