Provider Demographics
NPI:1972216794
Name:MOZELLA TRANSPORTATION INC
Entity Type:Organization
Organization Name:MOZELLA TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-333-8705
Mailing Address - Street 1:1 CHRYSLER RD APT 314
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1654
Mailing Address - Country:US
Mailing Address - Phone:508-333-8705
Mailing Address - Fax:
Practice Address - Street 1:1 CHRYSLER RD APT 314
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1654
Practice Address - Country:US
Practice Address - Phone:508-333-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)