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Organization

SHALOM RUN NON EMERGENCY MEDICAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NDIKUMANA GILE (OWNER)
(773) 724-9905
Entity
Organization

Contact information

Practice address
1212 W 3RD ST, DAVENPORT, IA 52802-1369
(773) 724-9905
Mailing address
1212 W 3RD ST, DAVENPORT, IA 52802-1369
(773) 724-9905

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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