Healthcare Provider Details
I. General information
NPI: 1497904353
Provider Name (Legal Business Name): EMAN TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2008
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6909 ENGLE RD
CLEVELAND OH
44130-3473
US
IV. Provider business mailing address
6909 ENGLE RD
CLEVELAND OH
44130-3473
US
V. Phone/Fax
- Phone: 216-752-8384
- Fax:
- Phone: 216-752-8384
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KIM
GULLIE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 216-752-8384