Organization
INNOVATIVE TRANSPORT ENTERPRISE, LLC
Active
Other names
Innovative Transport Enterprise, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN BAPTISTE TWIZERUMUKIZA (CHIEF EXECUTIVE OFFICER)
(309) 631-4171
Entity
Organization
Contact information
Practice address
2239 24TH ST APT 15C, ROCK ISLAND, IL 61201-4500
(309) 631-4171
Mailing address
2239 24TH ST APT 15C, ROCK ISLAND, IL 61201-4500
(309) 631-4171
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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