NPI 1053689596
Breakthru, LLC
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
Non-emergency Medical Transport (VAN)
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.