Organization
SENIOR EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDDY A BALLESTEROS (GENERAL MANAGER)
(620) 238-1280
Entity
Organization
Contact information
Practice address
5005 W EQUESTRIAN PL APT 2210, SIOUX FALLS, SD 57106-5749
(620) 238-1280
Mailing address
5005 W EQUESTRIAN PL APT 2210, SIOUX FALLS, SD 57106-5749
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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