Vintage Vinetours LLC
NPI #1871039479 in Boonville, California
Provider Information
- NPI Number
- 1871039479
- Entity Type
- Organization
- Organization Name
- Vintage Vinetours LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jan 6, 2017
- Last Updated
- Jan 9, 2017
Practice Location
- Address
- 14361 HWY 128
- Address 2
- BOX 236
- City
- Boonville
- State
- California
- ZIP Code
- 95415
- Phone
- (707) 895-2641
Authorized Official
- Name
- MR. WILLIAM RAY HOUSLEY
- Title
- GENERAL MANAGER
- Phone
- (707) 485-4879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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