Supreme Lanes Transportation INC
Non-emergency Medical Transport (VAN) in Citrus Heights, CA. Organization (NPI-2).
NPI number1700568649
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1700568649
- Entity type
- Organization (NPI-2)
- Legal business name
- Supreme Lanes Transportation INC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
6000 San Juan AveCitrus Heights, CA 95610-6511
Phone 844-725-3911 · Fax 209-787-4375
Mailing address
6000 San Juan AveCitrus Heights, CA 95610-6511
Phone 844-725-3911 · Fax 209-787-4375
Authorized official
Dana Green
Owner/Logistics Manager
8447253911
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