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Organization

MIDWEST LIVERY LLC

Active
Other names
SAW Transportation
Organization subpart
No

Provider details

NPI number
Authorized official
ADNAN MOUEIMNE (PRESIDENT)
(613) 397-1800
Entity
Organization

Contact information

Practice address
2025 S HIGH ST, COLUMBUS, OH 43207-2426
(614) 530-4561
Mailing address
929 NORMANDY TRACE RD, TAMPA, FL 33602-5921
(613) 397-1800

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0308621
OH
Enumeration date
02/12/2020
Last updated
02/12/2020
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