Organization
KAYCLARKEN & SHELBY LLC
Active
Organization
KAYCLARKEN & SHELBY LLC
Active
Other names
SafeCare Madison Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BOSTER (CHIEF EXECUTIVE OFFICER)
(314) 413-3435
Entity
Organization
Contact information
Practice address
1133 E AIRLINE DR, EAST ALTON, IL 62024-2283
(618) 801-1633
Mailing address
838 RIDGE RD, WATERLOO, IL 62298-3164
(314) 413-3435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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