Organization
TIBBIE RAE'S TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SMITH (CEO)
(719) 217-0840
Entity
Organization
Contact information
Practice address
4325 KAOLIN CT, COLORADO SPRINGS, CO 80938-9630
(719) 217-0840
Mailing address
6050 STETSON HILLS BLVD STE 304, COLORADO SPRINGS, CO 80923-3562
(719) 217-0840
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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