Organization · NPI-2
Aalvina And Elijah INC
Non-emergency Medical Transport (VAN) · Fort Worth, TX
NPI number1861014904
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1861014904
- Entity type
- Organization (NPI-2)
- Legal business name
- Aalvina And Elijah INC
- Organization subpart
- No
- Enumeration date
- May 12, 2020
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Other names
- Aalvina And Elijah INC (Former Legal Business Name)
Practice location
1848 Potrillo LnFort Worth, TX 76131-1446
Phone 817-909-2280
Mailing address
1848 Potrillo LaneFort Worth, TX 76131-1446
Phone 817-909-2280
Authorized official
Theodore O Gray
Owner/ President
8179092280
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