Organization
LUNA STAR TRANSIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORISA TYLER OWNER (CEO)
(888) 850-3586
Entity
Organization
Contact information
Practice address
430 N HORSMAN ST, ROCKFORD, IL 61101-6608
(888) 850-3586
Mailing address
1721 BARTON BLVD, ROCKFORD, IL 61103-3743
(888) 850-3586
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
12/16/2022
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