MEDICARE: DEAL TRANSPORTATION 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1245815570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3039 E SANTA ROSA DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-1541
Country	:	US
Telephone Number	:	602-300-0283
Fax Number	:

Provider Business Practice Location Address
First Line	:	3039 E SANTA ROSA DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-1541
Country	:	US
Telephone Number	:	602-300-0283
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMR ABDALLA
Credential	:
Telephone Number	:	602-300-0283

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	03/17/2021

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