Healthcare Provider Details

I. General information

NPI: 1588513915
Provider Name (Legal Business Name): PRAYING HANDS TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 COUNTRY CLUB DR
GALLUP NM
87301-5678
US

IV. Provider business mailing address

1690 COUNTRY CLUB DR
GALLUP NM
87301-5678
US

V. Phone/Fax

Practice location:
  • Phone: 505-870-5240
  • Fax: 505-722-6272
Mailing address:
  • Phone: 505-870-5240
  • Fax: 505-722-6272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: FIRAS ABDELJAWAD
Title or Position: OWNER
Credential:
Phone: 505-870-5240