Provider Demographics
NPI:1538558986
Name:NUNAYON GROUP LLC
Entity type:Organization
Organization Name:NUNAYON GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:MOBOLAJI
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-264-2652
Mailing Address - Street 1:PO BOX 550181
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75355-0181
Mailing Address - Country:US
Mailing Address - Phone:469-264-2652
Mailing Address - Fax:800-598-7597
Practice Address - Street 1:9807 DIBSWORTH LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1010
Practice Address - Country:US
Practice Address - Phone:469-264-2652
Practice Address - Fax:800-598-7597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)