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Organization

RIVERSIDE LINE EXPRESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUGISHA F SAHINI (PRESIDENT)
(716) 602-8497
Entity
Organization

Contact information

Practice address
115 30TH STREET DR SE, CEDAR RAPIDS, IA 52403-1402
(716) 602-8497
Mailing address
115 30TH STREET DR SE, CEDAR RAPIDS, IA 52403-1402
(716) 602-8497

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
532730579
NY
Enumeration date
09/17/2019
Last updated
09/17/2019
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