Organization
DIV TRANSIT EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVITA N SEBASTIAO (OWNER)
(319) 491-2750
Entity
Organization
Contact information
Practice address
330 66TH AVE SW APT 12, CEDAR RAPIDS, IA 52404-5388
(319) 491-2750
Mailing address
330 66TH AVE SW APT 12, CEDAR RAPIDS, IA 52404-5388
(319) 491-2750
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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