Organization
VINTAGE VINETOURS LLC
Active
Organization
VINTAGE VINETOURS LLC
Active
Other names
Mendo Access
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RAY HOUSLEY (GENERAL MANAGER)
(707) 485-4879
Entity
Organization
Contact information
Practice address
14361 HWY 128, BOX 236, BOONVILLE, CA 95415
(707) 895-2641
Mailing address
14361 HWY 128, BOX 236, BOONVILLE, CA 95415
(707) 895-2641
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C6528142
CA
Other
Enumeration date
01/06/2017
Last updated
01/09/2017
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