Healthcare Provider Details

I. General information

NPI: 1508272055
Provider Name (Legal Business Name): MNZ CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2014
Last Update Date: 07/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BATTLEGROUND AVE SUITE 116-N
GREENSBORO NC
27408-8042
US

IV. Provider business mailing address

801 VALLEY OAK DR
GREENSBORO NC
27406-8225
US

V. Phone/Fax

Practice location:
  • Phone: 336-617-0930
  • Fax:
Mailing address:
  • Phone: 336-617-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. ZOHAIR A MOHAMMED
Title or Position: PRESIDENT
Credential:
Phone: 336-825-4688