Organization
WIRKSAM SERVICE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISK WENSY DERIFOND (MEMBER/CEO)
(561) 853-6769
Entity
Organization
Contact information
Practice address
3915 S KENNEDY DR, BLOOMINGTON, IN 47401-9619
(561) 853-6769
Mailing address
3915 S KENNEDY DR, BLOOMINGTON, IN 47401-9619
(561) 853-6769
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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