Organization
KILIMANJARO LLC
Active
Parent organization
KILIMANJARO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KILIMANJARO LLC
Authorized official
ELIJAH MOSIRIA OMWENO (PRESIDENT)
(715) 338-9840
Entity
Organization
Contact information
Practice address
1222 14TH AVE E, MENOMONIE, WI 54751
(715) 338-9840
(715) 386-2819
Mailing address
1222 14TH AVE E, MENOMONIE, WI 54751
(715) 338-9840
(715) 386-2819
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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