Provider Demographics
NPI:1124679782
Name:MUMO TRANSPORTATION
Entity type:Organization
Organization Name:MUMO TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:MUTHEU
Authorized Official - Last Name:MUINDE
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:484-795-9671
Mailing Address - Street 1:10 E BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2301
Mailing Address - Country:US
Mailing Address - Phone:610-504-3817
Mailing Address - Fax:484-383-3158
Practice Address - Street 1:10 E BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-2301
Practice Address - Country:US
Practice Address - Phone:610-504-3817
Practice Address - Fax:484-383-3158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)