Organization
SAFE LINE TRANSPORTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM PERNELL (OWNER/OPERATOR)
(414) 313-6722
Entity
Organization
Contact information
Practice address
916 W BURLEIGH ST, MILWAUKEE, WI 53206-3256
(414) 313-6722
Mailing address
916 W BURLEIGH ST, MILWAUKEE, WI 53206-3256
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032379
—
WI
Enumeration date
10/17/2013
Last updated
10/17/2013
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