Organization
CLEANSWEEP COLLECTIVE LC
Active
Other names
LifeLine Mobility Group
Organization subpart
No
Provider details
NPI number
Authorized official
JEQUAN BURTON (CEO)
(407) 212-7057
Entity
Organization
Contact information
Practice address
1818 36TH ST, ORLANDO, FL 32839-8806
(407) 212-7057
Mailing address
1317 EDGEWATER DR # 7448, ORLANDO, FL 32804-6350
(407) 212-7057
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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