Healthcare Provider Details

I. General information

NPI: 1851088728
Provider Name (Legal Business Name): 3 GALS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 PENROSE DR
COLUMBUS OH
43219-2040
US

IV. Provider business mailing address

3460 DILLWARD DR
COLUMBUS OH
43219-3325
US

V. Phone/Fax

Practice location:
  • Phone: 614-531-1579
  • Fax:
Mailing address:
  • Phone: 614-432-6960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: VALERIE R HENDRICKS
Title or Position: OWNER
Credential:
Phone: 614-432-6960