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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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