MEDICARE: ALL CARE TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063646354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE TRANSPORTATION

Provider Business Mailing Address
First Line	:	13117 CEDAR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2724
Country	:	US
Telephone Number	:	216-326-0502
Fax Number	:	216-371-2091

Provider Business Practice Location Address
First Line	:	13117 CEDAR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2724
Country	:	US
Telephone Number	:	216-326-0502
Fax Number	:	216-371-2091

Authorized Official
Title or Position	:	OWNER
Name	:	TONIE SLOCUM
Credential	:
Telephone Number	:	216-326-0502

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	05/14/2009

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