Organization
CARAVAN CARE
Active
Organization
CARAVAN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAAL D HALLECK (GENERAL PARTNER)
(760) 265-7981
Entity
Organization
Contact information
Practice address
20303 OTOE RD, APPLE VALLEY, CA 92307-1799
(760) 265-7981
Mailing address
PO BOX 1965, APPLE VALLEY, CA 92307-0038
(760) 265-7981
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00010335
CA
343900000X
Non-emergency Medical Transport (VAN)
BSL09-01330
CA
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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