Organization
VAN GO ACTIVITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A GANLEY (MEMBER)
(602) 235-2255
Entity
Organization
Contact information
Practice address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(602) 235-2255
(602) 275-1914
Mailing address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(602) 235-2255
(602) 275-1914
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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