Medtrans Services LLC
Assisted Living Facility, Assisted Living, Behavioral Disturbances in Phoenix, AZ. Organization (NPI-2).
NPI number1083274591
StatusActive
Last updated in NPPESJun 17, 2019
Details
- NPI
- 1083274591
- Entity type
- Organization (NPI-2)
- Legal business name
- Medtrans Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2019
- Last updated
- Jun 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | – | – | Yes |
Practice location
3139 W Park StPhoenix, AZ 85041-6376
Phone 602-639-3147 · Fax 480-809-4547
Mailing address
3139 W Park StPhoenix, AZ 85041-6376
Phone 602-639-3147 · Fax 480-809-4547
Authorized official
Morog Mahmoud
Manger
6237033860
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