Innovative Transport Enterprise, LLC

NPI #1073062030 in Rock Island, Illinois

Provider Information

NPI Number
1073062030
Entity Type
Organization
Organization Name
Innovative Transport Enterprise, LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Sep 30, 2016
Last Updated
Sep 30, 2016

Practice Location

Address
2239 24TH STREET APT 15C
ZIP Code
61201
Phone
(309) 631-4171

Authorized Official

Name
MR. JEAN BAPTISTE TWIZERUMUKIZA
Title
PRESIDENT/ CEO
Phone
(309) 631-4171

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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