MEDICARE: DSR 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1114613718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DSR TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2159 N 29TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1528
Country	:	US
Telephone Number	:	414-736-3852
Fax Number	:

Provider Business Practice Location Address
First Line	:	2159 N 29TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1528
Country	:	US
Telephone Number	:	414-736-3852
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SADE S FRANKLIN
Credential	:
Telephone Number	:	414-738-3852

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	04/17/2023

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Directions to “DSR TRANSPORTATION LLC ” Practice Location

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