Moufoutaho Liassou - Providence, RI

Moufoutaho Liassou

Non-emergency Medical Transport (VAN) in Providence, Rhode Island

NPI 1699115444

Moufoutaho Liassou is a Non-emergency Medical Transport (VAN) based in Providence, RI. Moufoutaho Liassou practices in Providence, RI. The NPI Number for Moufoutaho Liassou is 1699115444 and holds a License No. PMV-302 (Rhode Island).

The current practice location address for Moufoutaho Liassou is 59 Iona St, Providence, RI and can be reached out via phone at 401-601-5857.

Location: 59 Iona St, Providence, RI, 02908-2307

NPI Number

1699115444

Provider Name

Moufoutaho Liassou

Credential

Provider Entity Type

Individual

Gender

Male

Address

59 Iona St, Providence, RI, 02908-2307

Phone Number

401-601-5857

Fax Number

Provider Enumeration Date

06/25/2013

Last Update Date

03/09/2024

Address

59 Iona St

City

Providence

State

Rhode Island

Zip

02908-2307

Phone Number

401-601-5857

Fax Number

Address

59 Iona St

City

Providence

State

Rhode Island

Zip

02908-2307

Phone Number

401-601-5857

Fax Number

Type

Transportation Services

Classification

Non-emergency Medical Transport (VAN)

Speciality

Taxonomy

343900000X

License No.

PMV-302 (Rhode Island)

Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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