Organization
GREEN RIVER TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOKHTAR YOSEF (MEMBER/MANAGER)
(920) 713-1723
Entity
Organization
Contact information
Practice address
1057 ROLAND LN APT 7, GREEN BAY, WI 54303-6041
(920) 713-1723
Mailing address
1057 ROLAND LN APT 7, GREEN BAY, WI 54303-6041
(920) 713-1723
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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