Organization
ALIS AQUILAE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL MUKUNA TSHITAMBALA (OWNER/MEMBER)
(319) 853-3300
Entity
Organization
Contact information
Practice address
8 JARO WAY APT 301, NORTH LIBERTY, IA 52317-9840
(319) 853-3300
Mailing address
8 JARO WAY APT 301, NORTH LIBERTY, IA 52317-9840
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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