MEDICARE: RNL LOGISTICS 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
1	343800000X	Secured Medical Transport (VAN)
2	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1023899531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RNL LOGISTICS LLC

Provider Business Mailing Address
First Line	:	902 BROAD ST # 4515
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-4310
Country	:	US
Telephone Number	:	682-561-0673
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 HILLSIDE DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4706
Country	:	US
Telephone Number	:	682-561-0673
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LASHONDA MEGAL WILLIAMS
Credential	:
Telephone Number	:	682-561-0673

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	03/28/2024

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