Organization
LET IT RIDE TRANSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA CARTER (PRESIDENT)
(414) 350-3088
Entity
Organization
Contact information
Practice address
4370 N 65TH ST, MILWAUKEE, WI 53216-1155
(414) 350-3088
Mailing address
4370 N 65TH ST, MILWAUKEE, WI 53216-1155
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012619
—
WI
Enumeration date
12/21/2010
Last updated
12/21/2010
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