Organization
FAST CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMER ELHIBER FADLALLA (OWNER)
(602) 518-2297
Entity
Organization
Contact information
Practice address
1724 W LOUGHLIN DR, CHANDLER, AZ 85224
(602) 518-2297
(480) 248-8631
Mailing address
3001 W INDIAN SCHOOL RD, SUITE 210, PHOENIX, AZ 85017-4168
(602) 554-8507
(602) 865-7632
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699135
—
AZ
Enumeration date
09/30/2013
Last updated
04/27/2016
Update your record
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