Organization
KENMARE WHEELS & MEALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A FREEMAN (DIRECTOR)
(701) 385-4364
Entity
Organization
Contact information
Practice address
221 NORTH CENTRAL AVENUE, KENMARE, ND 58746-0481
(701) 385-4364
(701) 385-4396
Mailing address
PO BOX 481, KENMARE, ND 58746-0481
(701) 385-4364
(701) 385-4396
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
HZW024
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51027
ND MEDICAID
ND
Enumeration date
07/29/2014
Last updated
07/29/2014
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