Provider Demographics
NPI:1043909088
Name:UNITY EXPRESS NON EMERGENCY MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:UNITY EXPRESS NON EMERGENCY MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANIRAKIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONJINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-302-0408
Mailing Address - Street 1:4704 94TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-6219
Mailing Address - Country:US
Mailing Address - Phone:520-302-0408
Mailing Address - Fax:
Practice Address - Street 1:4704 94TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-6219
Practice Address - Country:US
Practice Address - Phone:520-302-0408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)