Organization
GREAT HORIZON TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POR LEE (OWNER)
(414) 628-0089
Entity
Organization
Contact information
Practice address
N168W20379 MAIN ST # 1028, JACKSON, WI 53037-9370
(262) 566-1356
Mailing address
N168W20379 MAIN ST # 1028, JACKSON, WI 53037-9370
(262) 566-1356
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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