Organization
KELANDY LLC
Active
Other names
NOVAWOLVES SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN ANDERSON NKIZAYEZU (CEO)
(207) 776-0170
Entity
Organization
Contact information
Practice address
125 GRANT ST APT 11, PORTLAND, ME 04101-2163
(331) 442-9596
Mailing address
17 WERMUTH RD, SOUTH PORTLAND, ME 04106-1817
(207) 776-0170
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376254789
DRIVER
ME
Enumeration date
12/09/2022
Last updated
10/05/2023
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