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NPI Code Detail

MEDICARE: DESMONDS TRANSPORT SERVICE LLC

MEDICARE: DESMONDS TRANSPORT SERVICE 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1376373233
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESMONDS TRANSPORT SERVICE LLC
Provider Business Mailing Address
First Line : 2341 SNAPDRAGON POINT
Second Line :
City : EAST STROUDBURG
State : PA
Zip : 18301-0001
Country : US
Telephone Number : 570-982-3079
Fax Number :
Provider Business Practice Location Address
First Line : 2341 SNAPDRAGON POINT
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-0001
Country : US
Telephone Number : 570-982-3079
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. DESMOND WADE
Credential :
Telephone Number : 570-982-3079
Provider Enumeration Date : 08/06/2024
Last Update Date : 08/06/2024

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Directions to “DESMONDS TRANSPORT SERVICE LLC ” Practice Location

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