Organization
CHOICE CARE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAKUNLE I SANYAOLU (OWNER)
(414) 406-1378
Entity
Organization
Contact information
Practice address
8662 W MEDFORD AVE, MILWAUKEE, WI 53225-2823
(414) 393-1944
(414) 535-0762
Mailing address
8662 W MEDFORD AVE, MILWAUKEE, WI 53225-2823
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41499700
—
WI
Enumeration date
11/18/2008
Last updated
11/18/2008
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