Organization
M.E.D. SUPPORTED LIVING, LLC
Active
Other names
M.B.D. Trusted Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK R BRANTLEY (C.E.O.)
(216) 544-3946
Entity
Organization
Contact information
Practice address
675 ALPHA DR STE G, SUITE# G, HIGHLAND HTS, OH 44143-2139
(216) 220-1885
(440) 815-2184
Mailing address
1797 KAREN DR, EUCLID, OH 44117-2237
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
09/05/2024
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