PHILANA NIKITA BETONEY

WINSLOW, AZ
NPI1497109458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies251E00000X Home Health
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies
343900000X Non-emergency Medical Transport (VAN)
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition
347C00000X Private Vehicle
Enumeration Date2016-04-15
Last Update Date2019-08-27
Business Address
PHILANA NIKITA BETONEY
10 MILES E. OF TEESTO CHAPTER BIA RD. N-9062
WINSLOW, AZ 86047-7202
Phone number: 928-613-7069
Mailing Address
PHILANA NIKITA BETONEY
P.O. BOX 7202 CPU TEESTO
WINSLOW, AZ 86047-7202
Phone number: 928-613-7069