Healthcare Provider Details

I. General information

NPI: 1306555404
Provider Name (Legal Business Name): 365 RIDEZ TRANSPORTATION LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 05/21/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 N MICHIGAN ST STE 333
TOLEDO OH
43604-5666
US

IV. Provider business mailing address

316 N MICHIGAN ST STE 333
TOLEDO OH
43604-5666
US

V. Phone/Fax

Practice location:
  • Phone: 419-351-4002
  • Fax:
Mailing address:
  • Phone: 419-351-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. DARYL LAMONT LEWIS
Title or Position: OWNER
Credential:
Phone: 419-351-4002