Organization
R-LEGACY MEDICAL SERVICE TRANSPORTATION SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LENELL NASH SR. (PRESIDENT)
(414) 371-1034
Entity
Organization
Contact information
Practice address
6051 W BROWN DEER RD STE 205, BROWN DEER, WI 53223-2263
(414) 371-1034
(414) 371-1051
Mailing address
6051 W BROWN DEER RD STE 205, BROWN DEER, WI 53223-2263
(414) 371-1034
(414) 371-1051
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122389
—
WI
Enumeration date
01/10/2013
Last updated
01/10/2013
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