Provider Demographics
NPI:1285857300
Name:AZZA CARE INVALID COACH INC
Entity Type:Organization
Organization Name:AZZA CARE INVALID COACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1888-211-2992
Mailing Address - Street 1:55 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1495
Mailing Address - Country:US
Mailing Address - Phone:888-211-2992
Mailing Address - Fax:
Practice Address - Street 1:55 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1495
Practice Address - Country:US
Practice Address - Phone:888-211-2992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAZZA00071343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)