Organization
SENIORS ON THE GO TAXI SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK JAMES WIEBER (PROGRAM DIRECTOR)
(262) 363-5700
Entity
Organization
Contact information
Practice address
400 BAY VIEW RD, SUITE B, MUKWONAGO, WI 53149-1770
(262) 363-5700
Mailing address
400 BAY VIEW RD, SUITE B, MUKWONAGO, WI 53149-1770
(262) 363-5700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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