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Organization

SAFERIDES AMBULETTE LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES L JEFFERS (OWNER)
(216) 226-2600
Entity
Organization

Contact information

Practice address
1485 ALAMEDA AVE, LAKEWOOD, OH 44107-4920
(216) 226-2600
(216) 226-2601
Mailing address
1485 ALAMEDA AVE, LAKEWOOD, OH 44107-4920
(216) 226-2600
(216) 226-2601

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
187115
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811883
OHIO DEVELOPMENTAL DISABILITIES
OH
05
2754756
OH
Enumeration date
09/25/2007
Last updated
12/04/2010
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