Organization
FATHER ABRAHAM TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD E. MACK (OWNER)
(216) 235-4425
Entity
Organization
Contact information
Practice address
25370 GLENBROOK BLVD, EUCLID, OH 44117-1818
(216) 235-4425
Mailing address
25370 GLENBROOK BLVD, EUCLID, OH 44117-1818
(216) 235-4425
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S761924
OH
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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