Organization
MOBILE MEDICAL TRANSPORT, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MOORE (PRESIDENT)
(708) 704-2855
Entity
Organization
Contact information
Practice address
411 MARSHALL STREET, GARY, IN 46404-5041
(708) 704-2855
Mailing address
411 MARSHALL STREET, GARY, IN 46404-5041
(708) 704-2855
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201702101180216
IN
Other
Enumeration date
08/21/2018
Last updated
04/11/2019
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