Organization
KOKOMO CAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE LAWMAN (OWNER/OPERATOR)
(765) 868-3333
Entity
Organization
Contact information
Practice address
1015 S WASHINGTON ST, KOKOMO, IN 46902-6346
(765) 868-3333
(765) 868-3980
Mailing address
1015 S. WASHINGTON ST., KOKOMO, IN 46902
(765) 868-3333
(765) 868-3980
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
509LFH
IN
343900000X
Non-emergency Medical Transport (VAN)
511LFH
IN
343900000X
Non-emergency Medical Transport (VAN)
Primary
512LFH
IN
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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