Organization
SUPREME NEMT TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PANIAGUA (CEO)
(951) 470-9949
Entity
Organization
Contact information
Practice address
3590 CENTRAL AVE STE 204, RIVERSIDE, CA 92506-2708
(951) 617-9424
Mailing address
3590 CENTRAL AVE STE 204, RIVERSIDE, CA 92506-2708
(951) 617-9424
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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