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NPI Code Detail

MEDICARE: DAK FAMILY TRANSPORTATION LLC

MEDICARE: DAK FAMILY TRANSPORTATION LLC
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
1343900000XNon-emergency Medical Transport (VAN)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023640323
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAK FAMILY TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 5545 SPRUCE ST
Second Line :
City : LINCOLN
State : NE
Zip : 68516-1347
Country : US
Telephone Number : 402-612-5237
Fax Number :
Provider Business Practice Location Address
First Line : 5545 SPRUCE ST
Second Line :
City : LINCOLN
State : NE
Zip : 68516-1347
Country : US
Telephone Number : 402-612-5237
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PETER DAK
Credential :
Telephone Number : 402-612-5237
Provider Enumeration Date : 02/05/2020
Last Update Date : 02/05/2020

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Directions to “DAK FAMILY TRANSPORTATION LLC ” Practice Location

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