Healthcare Provider Details

I. General information

NPI: 1770257388
Provider Name (Legal Business Name): HORTON TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 BRIGHTON AVE
TOLEDO OH
43609-2935
US

IV. Provider business mailing address

725 BRIGHTON AVE
TOLEDO OH
43609-2935
US

V. Phone/Fax

Practice location:
  • Phone: 419-277-8287
  • Fax:
Mailing address:
  • Phone: 419-277-8287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: DERRON HORTON
Title or Position: CEO
Credential:
Phone: 419-392-2851