Organization
WELLCARE NEMT LLC
Active
Other names
Wellcare NEMT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NIYONSABA VUMILIA (OWNER)
(563) 639-6202
Entity
Organization
Contact information
Practice address
1012 16TH 1/2 ST, BETTENDORF, IA 52722-4215
(563) 639-6202
Mailing address
1012 16TH 1/2 ST, BETTENDORF, IA 52722-4215
(563) 639-6202
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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