Organization
LIFESTREAM TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELLEN KIAGO (CEO)
(508) 764-8800
Entity
Organization
Contact information
Practice address
50 ELM ST, UNIT B, SOUTHBRIDGE, MA 01550-2648
(508) 764-8800
(508) 764-8802
Mailing address
50 ELM ST, UNIT B, SOUTHBRIDGE, MA 01550-2648
(508) 764-8800
(508) 764-8802
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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