MEDICARE: SKR TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1215638895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKR TRANSPORTATION

Provider Business Mailing Address
First Line	:	4250 N 53RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1343
Country	:	US
Telephone Number	:	414-334-4747
Fax Number	:

Provider Business Practice Location Address
First Line	:	4250 N 53RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1343
Country	:	US
Telephone Number	:	414-334-4747
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	YVETTE SLOAN
Credential	:
Telephone Number	:	414-334-4747

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	03/13/2023

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Directions to “SKR TRANSPORTATION ” Practice Location

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