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Kilimanjaro LLC

NPI #1386960193 in Menomonie, Wisconsin

Provider Information

NPI Number
1386960193
Entity Type
Organization
Organization Name
Kilimanjaro LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KILIMANJARO LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 19, 2010
Last Updated
Apr 19, 2010

Practice Location

Address
1222 14TH AVE E
City
Menomonie
State
Wisconsin
ZIP Code
54751
Phone
(715) 338-9840

Authorized Official

Name
ELIJAH MOSIRIA OMWENO
Title
PRESIDENT
Phone
(715) 338-9840

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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