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Organization

SOUTHPORT TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DESI OKPETU (DIRECTOR)
(651) 214-8800
Entity
Organization

Contact information

Practice address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(651) 214-8800
Mailing address
10311 LARK RDG, HOUSTON, TX 77070-4873
(651) 214-8800

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
12/27/2018
Last updated
12/27/2018
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