Organization
GP LIFT RIDES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOSIA KING (PRESIDENT)
(262) 748-2596
Entity
Organization
Contact information
Practice address
7577 N TEUTONIA AVE, MILWAUKEE, WI 53209-2041
(262) 748-2596
Mailing address
7577 N TEUTONIA AVE, MILWAUKEE, WI 53209-2041
(262) 748-2596
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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