Organization
SUNRISE TRANSITE LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARAH A A IIMIE (OWNER)
(920) 558-1822
Entity
Organization
Contact information
Practice address
3331 BRIDLEWOOD DR, PLOVER, WI 54467-3867
(920) 558-1822
Mailing address
3331 BRIDLEWOOD DR, PLOVER, WI 54467-3867
(920) 558-1822
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100404780
—
WI
Enumeration date
07/08/2026
Last updated
07/08/2026
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