Organization
KAVKAZ TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NODIRA RIZAYEVA (PRESIDENT)
(314) 629-0810
Entity
Organization
Contact information
Practice address
9316 EDDIE AND PARK RD, SAINT LOUIS, MO 63126-2832
(314) 629-0810
Mailing address
9316 EDDIE AND PARK RD, SAINT LOUIS, MO 63126-2832
(314) 629-0810
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LC1246482
MO
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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