MEDICARE: ALLEY BOYS MOVING COMPANY LLC

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	:	1235851718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEY BOYS MOVING COMPANY LLC

Provider Business Mailing Address
First Line	:	795 SEYMOUR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2937
Country	:	US
Telephone Number	:	614-852-7004
Fax Number	:

Provider Business Practice Location Address
First Line	:	795 SEYMOUR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2937
Country	:	US
Telephone Number	:	614-852-7004
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS DIRECTOR
Name	:	CHRISTOPHER BLAKELY
Credential	:
Telephone Number	:	614-852-7004

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	09/13/2022

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Directions to “ALLEY BOYS MOVING COMPANY LLC ” Practice Location

Language	Start Address	Practice Location

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