| NPI | 1851002109 |
|---|---|
| Former Legal Business Name | EXCELLENT TRANSPORTER |
| Entity Type | Organization |
| Authorized Contact | WASAN HAZIM ORO Owner 619-522-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |