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Organization

WILD ROSE GROUP, LLC

Active
Other names
Sage Medical Transit
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM ROSE (PRESIDENT)
(925) 487-2327
Entity
Organization

Contact information

Practice address
1091 S STATE ST, UKIAH, CA 95482-5820
(707) 450-1936
Mailing address
PO BOX 1947, UKIAH, CA 95482-1947

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347E00000X
Transportation Broker

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
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