Organization
JUBILEE MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAID OLUSEGUN FASHINA-JINADU (PRESIDENT)
(216) 916-0185
Entity
Organization
Contact information
Practice address
580 E 200TH ST, SUITE # 201, EUCLID, OH 44119-2391
(216) 916-0185
(216) 916-0185
Mailing address
580 E 200TH ST, SUITE # 201, EUCLID, OH 44119-2391
(216) 916-0185
(216) 916-0185
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2700054
—
OH
Enumeration date
01/23/2007
Last updated
08/22/2020
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