Organization
ALLEGIANCE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY JAGMIN (OWNER)
(920) 412-1688
Entity
Organization
Contact information
Practice address
450 S WALL ST LOT 16A, DENMARK, WI 54208-8513
(920) 412-1688
Mailing address
450 S WALL ST LOT 16A, DENMARK, WI 54208-8513
(920) 412-1688
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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