| NPI | 1780152686 |
|---|---|
| Doing Business As | PROVADO MOBILE HEALTH |
| Entity Type | Organization |
| Authorized Contact | EDWARD HOFFMAN General Manager 831-251-1382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2022-06-01 |