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Organization

FORT WAYNE TAXI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH MARK WEBB JR. (OWNER)
(706) 265-5977
Entity
Organization

Contact information

Practice address
3894 S STATE ROAD 13, WABASH, IN 46992-8878
(706) 265-5977
Mailing address
3894 S STATE ROAD 13, WABASH, IN 46992-8878
(706) 265-5977

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
342000000X
Transportation Network Company
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi
347C00000X
Private Vehicle

Other

Enumeration date
01/17/2025
Last updated
01/19/2025
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