Organization
UNION WEST, LLC
Active
Other names
Union West, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TOU LOR (OWNER)
(608) 212-1904
Entity
Organization
Contact information
Practice address
N5115 OAK HILL RD, FOND DU LAC, WI 54937-7922
(608) 212-1904
Mailing address
N5115 OAK HILL RD, FOND DU LAC, WI 54937-7922
(608) 212-1904
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023572500
—
WI
Enumeration date
02/12/2019
Last updated
02/12/2019
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