Organization
WELL CARE TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYDIA D. RUIZ (VICE-PRESIDENT-COO)
(818) 646-0701
Entity
Organization
Contact information
Practice address
6525 WOODLEY AVE. UNIT #205, LAKE BALBOA, CA 91406
(818) 646-0701
Mailing address
6525 WOODLEY AVE. UNIT #205, LAKE BALBOA, CA 91406
(818) 646-0701
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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