Revival Transportation
NPI #1780425611 in Ukiah, California
Provider Information
- NPI Number
- 1780425611
- Entity Type
- Organization
- Organization Name
- Revival Transportation
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jul 30, 2024
Practice Location
- Address
- 521 CAPPS LN
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-7227
- Phone
- (707) 376-5086
Authorized Official
- Name
- ASHLEY NICOLE ELLIOTT
- Title
- TRANSPORTATION PROVIDER
- Phone
- (707) 376-5086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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