Organization
SACRED SUN TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEORY NEZ (OWNER)
(928) 810-2202
Entity
Organization
Contact information
Practice address
1/4 MILE N. DENNY'S ON OLD TOWN STORY RD., ST. MICHAELS, AZ 86511
(928) 810-2204
Mailing address
PO BOX 2947, WINDOW ROCK, AZ 86515
(928) 810-2202
(928) 810-2204
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
683547
AZ
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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