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Agile Specialty Transportation, LLC

NPI #1205154002 in Hazelwood, Missouri

Provider Information

NPI Number
1205154002
Entity Type
Organization
Organization Name
Agile Specialty Transportation, LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
May 4, 2010
Last Updated
May 4, 2010

Practice Location

Address
320 BROOKES DR STE 212
City
Hazelwood
State
Missouri
ZIP Code
63042-2740
Phone
(314) 443-7565

Authorized Official

Name
MR. FEONN L. RANDALL
Title
OPERATIONS MGR.
Phone
(314) 443-7565

Specialties & Taxonomy Codes

Specialty
Ambulance
Non-emergency Medical Transport (VAN)

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