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Organization

LETS GO TRANSPORTATION

Active
Other names
Lets Go Transportation
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IRENE N/A SMITH (OWNER)
(414) 855-6268
Entity
Organization

Contact information

Practice address
7327 W CONGRESS ST, #6, MILWAUKEE, WI 53218-5441
(414) 855-6268
(414) 464-7827
Mailing address
7327 W CONGRESS ST, #6, MILWAUKEE, WI 53218-5441
(414) 855-6268
(414) 464-7827

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S5304006175902
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100012576
WI
Enumeration date
05/12/2011
Last updated
05/12/2011
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