Organization
CISSE ENTERPRISE LLC
Active
Parent organization
SUPREME TRANSPORTATION SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPREME TRANSPORTATION SYSTEM
Authorized official
BOUBA CISSE (CEO)
(513) 487-9940
Entity
Organization
Contact information
Practice address
3112 BALSAMRIDGE DR, CINCINNATI, OH 45239-7102
(513) 602-4526
Mailing address
PO BOX 11215, CINCINNATI, OH 45211-0215
(513) 602-4526
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
638
OH
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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