Organization
COUNTRYSIDE TIRE AND LUBE LLC
Active
Other names
Countryside Trucking LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SCHLEGELMILCH (OWNER)
(402) 253-6664
Entity
Organization
Contact information
Practice address
607 OAK ST, WALNUT, IA 51577-3071
(402) 253-6664
Mailing address
PO BOX 647, WALNUT, IA 51577-0647
(402) 253-6664
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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