Organization
INNOVATIVE TRANSPORT ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN BAPTISTE TWIZERUMUKIZA (PRESIDENT/ CEO)
(309) 230-5479
Entity
Organization
Contact information
Practice address
309 COURT AVE, STE 811, DES MOINES, IA, 50309, STE 811, DES MOINES, IA 50309
(309) 230-5479
Mailing address
2239 24TH STREET APT 15C, ROCK ISLAND, IL 61201
(309) 631-4171
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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