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Organization

ELITE MEDICAL TRANSPORT OF MANSFIELD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT EDWARD GROVE (PRESIDENT)
(419) 566-9611
Entity
Organization

Contact information

Practice address
165 MARION AVE, MANSFIELD, OH 44903-2223
(419) 566-9611
(419) 747-9298
Mailing address
165 MARION AVE, MANSFIELD, OH 44903-2223
(419) 566-9611

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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