Healthcare Provider Details

I. General information

NPI: 1043376379
Provider Name (Legal Business Name): VOYAGER TRANSPORT SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3281 TULLAMORE RD
CLEVELAND HEIGHTS OH
44118-2979
US

IV. Provider business mailing address

3281 TULLAMORE RD
CLEVELAND HEIGHTS OH
44118-2979
US

V. Phone/Fax

Practice location:
  • Phone: 216-321-3305
  • Fax: 216-321-5362
Mailing address:
  • Phone: 216-321-3305
  • Fax: 216-321-5362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberMTB5866
License Number StateOH

VIII. Authorized Official

Name: MR. LOUIS C. MITCHELL
Title or Position: PRESIDENT
Credential:
Phone: 216-548-9111