Home and Away Medical Transport
NPI #1528418449 in Post Falls, Idaho
Provider Information
- NPI Number
- 1528418449
- Entity Type
- Organization
- Organization Name
- Home and Away Medical Transport
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 21, 2016
- Last Updated
- Jun 21, 2016
Practice Location
- Address
- 1421 W POLELINE AVE
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-9828
- Phone
- (208) 704-0153
Authorized Official
- Name
- WILLIAM CHARLES HATHAWAY
- Title
- OWNER
- Phone
- (208) 704-0153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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