Organization
L&R TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOUFOUTAHO LIASSOU TRANSPORT PROVIDER (OPERATION MANAGER)
(401) 601-5857
Entity
Organization
Contact information
Practice address
59 IONA ST, PROVIDENCE, RI 02908-2307
(401) 601-5857
(401) 270-4525
Mailing address
59 IONA ST, PROVIDENCE, RI 02908-2307
(401) 601-5857
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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