Organization
THE POTTER GROUP DBA BLACK AND WHITE PARATRANSIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN FLAHIE (OPERATIONS/HR ASSISTANT)
(419) 536-3722
Entity
Organization
Contact information
Practice address
4665 W BANCROFT ST, TOLEDO, OH 43615-3945
(419) 536-3722
(419) 464-0330
Mailing address
4665 W BANCROFT ST, TOLEDO, OH 43615-3945
(419) 536-3722
(419) 464-0330
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
485475
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102618
—
OH
Enumeration date
12/05/2016
Last updated
12/05/2016
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