| Organization Name: | FREESTATE TRANSPORTATION, LLC |
| NPI Number: | 1720302052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICO MAWUN (PRESIDENT) |
| Mailing Address: | 832 Oregon Ave Suites K-l Linthicum |
| State: | MD US |
| Postal Code: | 210901400 |
| Phone Number: | 4106092156 |
| Fax Number: | 4106092159 |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 05/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |