Organization · NPI-2

Dagreat Services LLC

Private Vehicle · Dallas, TX

NPI number1063115822
StatusActive
Last updated in NPPESJun 4, 2023

Details

NPI
1063115822
Entity type
Organization (NPI-2)
Legal business name
Dagreat Services LLC
Organization subpart
No
Enumeration date
Mar 22, 2023
Certification date
Jun 4, 2023
Last updated
Jun 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private Vehicle––Yes
343800000X Secured Medical Transport (VAN)––
343900000X Non-emergency Medical Transport (VAN)––

Practice location

18749 Marsh Ln Apt 921
Dallas, TX 75287-3517

Phone 214-405-1514

Mailing address

18749 Marsh Ln Apt 921
Dallas, TX 75287-3517

Phone 214-405-1514

Authorized official

Marshell T Demery
Owner
2144051514

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