Whalio Doctors

NPI 1053689596

Breakthru, LLC

Organisation Private Vehicle Goodyear, AZ

Practice location

Address
14435 W Verde Ln, Goodyear, AZ 85395-8335
Phone
(623) 521-5856

Authorised official

Name
Olu W Omodara
Title
Owner/General Mgr.
Phone
(623) 521-5856

Registered specialties (2)

Private Vehicle Primary
Transportation Services Taxonomy 347C00000X
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X

Registry record

NPI
1053689596
Entity type
Organization
NPI issued
13 Dec 2011
Record last updated
13 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.