Healthcare Provider Details

I. General information

NPI: 1164055083
Provider Name (Legal Business Name): HUDUMA TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 E 232ND ST
EUCLID OH
44117-2018
US

IV. Provider business mailing address

1765 E 232ND ST
EUCLID OH
44117-2018
US

V. Phone/Fax

Practice location:
  • Phone: 216-688-7173
  • Fax: 216-938-7436
Mailing address:
  • Phone: 216-688-7173
  • Fax: 216-938-7436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JANE MAINA
Title or Position: OWNER
Credential:
Phone: 216-255-4932