Organization
TRIDENT TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LAKE (OWNER)
(774) 573-7269
Entity
Organization
Contact information
Practice address
35 OVERLOOK DR, TAUNTON, MA 02780-2239
(150) 855-8358
Mailing address
35 OVERLOOK DR, TAUNTON, MA 02780-2239
(150) 855-8358
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/28/2023
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