Healthcare Provider Details

I. General information

NPI: 1821569609
Provider Name (Legal Business Name): ENSURE TRANSPORTATION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2018
Last Update Date: 12/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 SALINA ST
EL CAJON CA
92020-6441
US

IV. Provider business mailing address

858 SALINA ST
EL CAJON CA
92020-6441
US

V. Phone/Fax

Practice location:
  • Phone: 508-654-8974
  • Fax:
Mailing address:
  • Phone: 508-654-8974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMED AL HADEETHI
Title or Position: PRESIDENT
Credential:
Phone: 508-654-8974