Organization
HORIZON MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABUBKKAR DIRAR (MANAGER)
(360) 491-6983
Entity
Organization
Contact information
Practice address
5707 LACEY BLVD SE, SUITE # 108, LACEY, WA 98503-7228
(360) 491-6983
Mailing address
5707 LACEY BLVD SE, SUITE # 108, LACEY, WA 98503-7228
(360) 491-6983
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
602 567 380
WA
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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