Organization
ROYAL CROWN TRANS LLC
Active
Other names
Royal crown trans LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMAKE AHMED MOHAMUD (MANAGER)
(614) 218-9817
Entity
Organization
Contact information
Practice address
213 W MESA AVE, GALLUP, NM 87301-6335
(614) 218-9817
Mailing address
5401 E VAN BUREN ST UNIT 3054, PHOENIX, AZ 85008-3469
(832) 209-0360
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5657164
NM
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/30/2018
Last updated
05/14/2020
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