Organization
BOAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKOLA AGBETI (CEO)
(301) 531-0239
Entity
Organization
Contact information
Practice address
3219 MATTIE GREY LN, MELISSA, TX 75454-9756
(301) 531-0239
Mailing address
3219 MATTIE GREY LN, MELISSA, TX 75454-9756
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/20/2024
Last updated
10/11/2024
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