MEDICARE: ANOTHER HURRICAN PROJECT INC.

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	:	1831386234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOTHER HURRICAN PROJECT INC.

Provider Business Mailing Address
First Line	:	PO BOX 3554
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-0070
Country	:	US
Telephone Number	:	760-242-2284
Fax Number	:	760-242-0079

Provider Business Practice Location Address
First Line	:	18665 SISKIYOU RD
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-1419
Country	:	US
Telephone Number	:	760-242-2284
Fax Number	:	760-242-0079

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. VICKIE JOHNSON
Credential	:	R.T.
Telephone Number	:	760-242-2284

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	09/28/2007

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