Healthcare Provider Details
I. General information
NPI: 1225424666
Provider Name (Legal Business Name): MILES IN MINUTES TRANSPORTATION AND HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2015
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3473 E LIVINGSTON AVE
COLUMBUS OH
43227-2220
US
IV. Provider business mailing address
3473 E LIVINGSTON AVE
COLUMBUS OH
43227-2220
US
V. Phone/Fax
- Phone: 614-946-5504
- Fax:
- Phone: 614-946-5504
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: MRS.
TOMIKA
GORDON
Title or Position: OWNER/CEO
Credential:
Phone: 614-946-5504