Page Entity LLC

NPI #1245092311 in Moundville, Alabama

Provider Information

NPI Number: 1245092311
Entity Type: Organization
Organization Name: Page Entity LLC
Primary Specialty: Non-emergency Medical Transport (VAN)
Enumeration Date: Jan 24, 2024
Last Updated: Jan 24, 2024

Practice Location

Address: 16423 POTTERY LN
City: Moundville
State: Alabama
ZIP Code: 35474-6237
Phone: (205) 393-4119

Authorized Official

Name: MRS. SHENIQUA BULLOCK PAGE
Title: OWNER
Phone: (205) 393-4119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Taxi	344600000X
Bus	347B00000X
Non-emergency Medical Transport (VAN)	343900000X	Primary

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