White Line LLC
Ambulance, Land Transport in Basin, WY. Organization (NPI-2).
NPI number1548656242
StatusActive
Last updated in NPPESJun 13, 2016
Details
- NPI
- 1548656242
- Entity type
- Organization (NPI-2)
- Legal business name
- White Line LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2015
- Last updated
- Jun 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | – | – | Yes |
Other names
- Atwood Family (Doing Business As)
Practice location
419 W C StreetBasin, WY 82410
Phone 307-568-2041 · Fax 307-568-2727
Mailing address
Po Box 530Basin, WY 82410-0530
Phone 307-568-2041 · Fax 307-568-2727
Authorized official
Clayton Draggoo
Owner
3075682041
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