Organization
EMINENT WHEELCHAIR VAN SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PENKE (PRESIDENT)
(716) 684-4101
Entity
Organization
Contact information
Practice address
984 TOWN LINE RD, LANCASTER, NY 14086-9512
(716) 684-4101
Mailing address
984 TOWN LINE RD, LANCASTER, NY 14086-9512
(716) 684-4101
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01241029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241029
—
NY
Enumeration date
05/22/2007
Last updated
08/22/2020
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