| NPI | 1558159988 |
|---|---|
| Former Legal Business Name | AGE MEDICAL TRANSPORTATION LLC |
| Entity Type | Organization |
| Authorized Contact | GHOFRAN ALANI Owner 364-201-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-04-26 |