R-Legacy Medical Service Transportation Service, LLC

NPI #1649517640 in Brown Deer, Wisconsin

Provider Information

NPI Number
1649517640
Entity Type
Organization
Organization Name
R-Legacy Medical Service Transportation Service, LLC
Primary Specialty
Secured Medical Transport (VAN)
Enumeration Date
Jan 10, 2013
Last Updated
Jan 10, 2013

Practice Location

Address
6051 W BROWN DEER RD STE 205
ZIP Code
53223-2263
Phone
(414) 371-1034

Authorized Official

Name
MR. DOUGLAS LENELL NASH SR.
Title
PRESIDENT
Phone
(414) 371-1034

Specialties & Taxonomy Codes

Specialty
Secured Medical Transport (VAN)

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