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NPI Code Detail

MEDICARE: IMELA TRANSPORT INC

MEDICARE: IMELA TRANSPORT 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1457971830
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMELA TRANSPORT INC
Provider Business Mailing Address
First Line : 5208 EAGLE CREEK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-1575
Country : US
Telephone Number : 704-241-9594
Fax Number :
Provider Business Practice Location Address
First Line : 2920 N TRYON ST
Second Line :
City : CHARLOTTE
State : NC
Zip : 28206-2761
Country : US
Telephone Number : 704-293-2227
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOYCE WAH
Credential :
Telephone Number : 704-241-9594
Provider Enumeration Date : 04/25/2020
Last Update Date : 04/25/2020

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Directions to “IMELA TRANSPORT INC ” Practice Location

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