| NPI | 1386382091 |
|---|---|
| Former Legal Business Name | CITY LINE LLC |
| Entity Type | Organization |
| Authorized Contact | PLACIDE DUSENGIMANA President 716-816-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |