MEDICARE: MED-A-LIFT INC

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	:	1386304566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED-A-LIFT INC

Provider Business Mailing Address
First Line	:	4368 DRESSLER RD NW STE 104
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2775
Country	:	US
Telephone Number	:	330-933-7796
Fax Number	:

Provider Business Practice Location Address
First Line	:	4368 DRESSLER RD NW STE 104
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2775
Country	:	US
Telephone Number	:	330-933-7796
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA S WILDS
Credential	:
Telephone Number	:	330-327-6214

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	12/29/2021

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Directions to “MED-A-LIFT INC ” Practice Location

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