Organization
R411 TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENTON L GRAY (OWNER)
(608) 445-0273
Entity
Organization
Contact information
Practice address
8440 W KAUL AVE, MILWAUKEE, WI 53225-2020
(608) 445-0273
Mailing address
8440 W KAUL AVE, MILWAUKEE, WI 53225-2020
(608) 445-0273
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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