MEDICARE: ROUTE 2 CARE NON-EMERGENCY MEDICAL TRANSPORT L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1225720048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROUTE 2 CARE NON-EMERGENCY MEDICAL TRANSPORT L.L.C

Provider Business Mailing Address
First Line	:	38 MEADOW DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45416-1845
Country	:	US
Telephone Number	:	937-671-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 MEADOW DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45416-1845
Country	:	US
Telephone Number	:	937-671-8206
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANINE STANIECE WOOD
Credential	:	RN
Telephone Number	:	937-671-8206

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/30/2023

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