Royal Crown Trans LLC
Non-emergency Medical Transport (VAN) in Gallup, NM. Organization (NPI-2).
NPI number1982192415
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1982192415
- Entity type
- Organization (NPI-2)
- Legal business name
- Royal Crown Trans LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2018
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 5657164 | NM | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Other names
- Royal Crown Trans LLC (Doing Business As)
Practice location
213 W Mesa AveGallup, NM 87301-6335
Phone 614-218-9817
Mailing address
5401 E Van Buren St Unit 3054Phoenix, AZ 85008-3469
Phone 832-209-0360
Authorized official
Sharmake Ahmed Mohamud
Manager
6142189817
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