Organization
IDEIS TRANSPORTAION
Active
Other names
ON TIME MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIDAL I IDEIS (OWNER)
(216) 244-5102
Entity
Organization
Contact information
Practice address
3615 SUPERIOR AVE E, SUITE 3101-E, CLEVELAND, OH 44114-4138
(216) 244-5102
(216) 361-9797
Mailing address
3615 SUPERIOR AVE E, SUITE 3101-E, CLEVELAND, OH 44114-4138
(216) 244-5102
(216) 361-9797
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
185755
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2614184
—
OH
Enumeration date
04/13/2007
Last updated
08/22/2020
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