Organization
BREATH OF LIFE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATRESHA ROBINSON RN (ADMINSTRATOR/OWNER)
(414) 736-9775
Entity
Organization
Contact information
Practice address
6400 W CAPITOL DR, SUTIE 102, MILWAUKEE, WI 53216-2156
(414) 393-9882
(414) 393-9982
Mailing address
6400 W CAPITOL DR, SUITE 102, MILWAUKEE, WI 53216-2156
(414) 393-9882
(414) 393-9982
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003308
—
WI
Enumeration date
08/17/2009
Last updated
08/17/2009
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