Organization
OMLOR SPECIALIZED TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KATHLENE OMLOR (OWNER)
(567) 204-6790
Entity
Organization
Contact information
Practice address
19301 SANTA FE LINE RD, WAYNESFIELD, OH 45896-9424
(567) 204-6790
Mailing address
19301 SANTA FE LINE RD, WAYNESFIELD, OH 45896-9424
(567) 204-6790
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RM419467
OH
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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