Organization
TWO NURSES TRANSPORTATION SERVICE
Active
Parent organization
MEDICAID NURSE PROVIDER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAID NURSE PROVIDER
Authorized official
MS. JACQUELINE DENISE REESE RN BSN (NURSE)
(937) 559-0972
Entity
Organization
Contact information
Practice address
6040 LEYCROSS DR, HUBER HEIGHTS, OH 45424-3567
(937) 321-3178
Mailing address
5908 CORSICA DR, HUBER HEIGHTS, OH 45424-3509
(937) 559-0972
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072683
—
OH
05
—
3129082
—
OH
Enumeration date
05/03/2019
Last updated
05/03/2019
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