Organization
FAMILY TRANSPORT LLC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO RANGEL-SOLIS (PRESIDENT)
(414) 383-8138
Entity
Organization
Contact information
Practice address
1201 S 50TH ST, WEST MILWAUKEE, WI 53214-3533
(414) 383-8138
Mailing address
1201 S 50TH ST, WEST MILWAUKEE, WI 53214-3533
(414) 383-8138
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100036762
—
WI
Enumeration date
05/13/2017
Last updated
07/21/2022
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