MEDICARE: DALCHI,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1255994257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALCHI,LLC

Provider Business Mailing Address
First Line	:	5801 MARVIN D LOVE FWY STE 230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2388
Country	:	US
Telephone Number	:	469-688-9296
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 MARVIN D LOVE FWY STE 230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2388
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MICHAEL POWELL
Credential	:
Telephone Number	:	469-688-9296

Provider Enumeration Date	:	04/16/2019
Last Update Date	:	04/16/2019

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