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Organization

TIVAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS ODAFE (MANAGER)
(513) 719-3090
Entity
Organization

Contact information

Practice address
5821 WILLIAMSBURG DR., LORAIN, OH 44053
(513) 719-3090
(513) 454-6705
Mailing address
9435 WATERSTONE BLVD, STE 140, CINCINNATI, OH 45249
(513) 719-3090
(513) 454-6705

Taxonomy

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

Other

Enumeration date
11/07/2019
Last updated
11/07/2019
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