Organization
BALANCE INVALID COACH,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAMAL E YAHYA (OWNER)
(973) 332-1127
Entity
Organization
Contact information
Practice address
1215 LIBERTY AVE, SUITE# 27, HILLSIDE, NJ 07205-2054
(973) 332-1127
(973) 395-2724
Mailing address
1215 LIBERTY AVE, SUITE# 27, HILLSIDE, NJ 07205-2054
(973) 332-1127
(973) 395-2724
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7687206
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073471198072050
CORPORATION
NJ
Enumeration date
05/07/2007
Last updated
08/22/2020
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