MEDICARE: RACHADEE RESOURCRS 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)

General Provider Information

NPI Number	:	1417715525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RACHADEE RESOURCRS LLC

Provider Business Mailing Address
First Line	:	8801 S BRAESSWOOD BVLD
Second Line	:	APT 512
City	:	HOUSTON
State	:	TX
Zip	:	77031
Country	:	US
Telephone Number	:	832-348-6615
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 S BRAESSWOOD BVLD
Second Line	:	APT 512
City	:	HOUSTON
State	:	TX
Zip	:	77031
Country	:	US
Telephone Number	:	832-348-6615
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ABAYOMI ADEESO
Credential	:
Telephone Number	:	832-348-6615

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

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