| NPI | 1669934501 |
|---|---|
| Doing Business As | STATEWIDE MEDICAL TRANSPORTATION |
| Entity Type | Organization |
| Authorized Contact | AHMAD KHALED ABDELSALAM Director 318-709-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |