MEDICARE: CLEVELAND TRANSPORTATION CONNECTION 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	:	1295515401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND TRANSPORTATION CONNECTION LLC

Provider Business Mailing Address
First Line	:	11903 ABLEWHITE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1511
Country	:	US
Telephone Number	:	216-413-0669
Fax Number	:

Provider Business Practice Location Address
First Line	:	11903 ABLEWHITE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1511
Country	:	US
Telephone Number	:	216-413-0669
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROL STRONG
Credential	:
Telephone Number	:	216-413-0669

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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Directions to “CLEVELAND TRANSPORTATION CONNECTION LLC ” Practice Location

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