Provider Demographics
NPI:1982920542
Name:ALWAHA TRAVEL AGENCY FOR HAJJ AND UMRAH LLC
Entity Type:Organization
Organization Name:ALWAHA TRAVEL AGENCY FOR HAJJ AND UMRAH LLC
Other - Org Name:GOODWILL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAGDI
Authorized Official - Middle Name:MOHEYELDIN
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-382-0210
Mailing Address - Street 1:60 98TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-1000
Mailing Address - Country:US
Mailing Address - Phone:510-382-0210
Mailing Address - Fax:
Practice Address - Street 1:60 98TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-1000
Practice Address - Country:US
Practice Address - Phone:510-382-0210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)