Organization
SAMUEL SAFE RIDE (SSR), LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL YEL MANGONG (OWNER)
(402) 739-3558
Entity
Organization
Contact information
Practice address
4220 ERSKINE ST, OMAHA, NE 68111-3419
(531) 389-9150
Mailing address
4220 ERSKINE ST, OMAHA, NE 68111-3419
(531) 389-9150
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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