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Wagon Trail Professional Transport Llc
Non-emergency Medical Transport (VAN) in Fort Defiance, Arizona
NPI 1124455357

Wagon Trail Professional Transport Llc is a Non-emergency Medical Transport (VAN) based in Fort Defiance, AZ. Wagon Trail Professional Transport Llc practices in Fort Defiance, AZ. The NPI Number for Wagon Trail Professional Transport Llc is 1124455357 and holds a License No. L-1781666-8 (Arizona).

The current practice location address for Wagon Trail Professional Transport Llc is 24 Slick Rock Dr, Fort Defiance, AZ and can be reached out via phone at 928-729-2944 and via fax at 928-729-2400.

Location: 24 Slick Rock Dr, Fort Defiance, AZ, 86504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124455357
Provider Name
Wagon Trail Professional Transport Llc
Credential
Provider Entity Type
Organization
Address
24 Slick Rock Dr, Fort Defiance, AZ, 86504
Phone Number
928-729-2944
Fax Number
928-729-2400
Provider Enumeration Date
10/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L-1781666-8 05 AZ
institution
Provider Business Practice Location Address Details
Address
24 Slick Rock Dr
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-2944
Fax Number
928-729-2400
person
Provider Business Mailing Address Details
Address
24 Slick Rock Dr
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-2944
Fax Number
928-729-2400
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
L-1781666-8 (Arizona)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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