Organization
FOREVER YOUNG MEDICAL TRANSPORTATION, LLC
Active
Parent organization
FOREVER YOUNG TRANSPORTATION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOREVER YOUNG TRANSPORTATION, LLC
Authorized official
MISS LATISHA MONIQUE GATSON (PRESIDENT)
(216) 235-3473
Entity
Organization
Contact information
Practice address
4675 E 153RD ST, CLEVELAND, OH 44128-3014
(216) 235-3473
Mailing address
4675 E 153RD ST, CLEVELAND, OH 44128-3014
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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