Healthcare Provider Details

I. General information

NPI: 1700346657
Provider Name (Legal Business Name): AKACHI TRANSPORTATION, LLC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3154 AUDUBON BLVD
CLEVELAND OH
44104-5328
US

IV. Provider business mailing address

PO BOX 20052
CLEVELAND OH
44120-0052
US

V. Phone/Fax

Practice location:
  • Phone: 216-313-0644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: NGOZI ADIGWE
Title or Position: OWNER
Credential:
Phone: 216-313-0644