Organization
SUVERO TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN NAMFUKWE KALASA (DIRECTOR OF OPERATIONS)
(317) 784-9592
Entity
Organization
Contact information
Practice address
6314 MONTEO DR, INDIANAPOLIS, IN 46217-2768
(317) 784-9592
Mailing address
6314 MONTEO DR, INDIANAPOLIS, IN 46217-2768
(317) 784-9592
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
85085
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85085
CERTIFICATE OF OPERATION
IN
Enumeration date
04/19/2011
Last updated
04/19/2011
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