Organization
BOLAND MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIYI S MOGAJI (PRESIDENT)
(216) 559-0238
Entity
Organization
Contact information
Practice address
1221 EAST 170TH STREET, CLEVELAND, OH 44110
(216) 599-0238
(216) 383-9683
Mailing address
1221 EAST 170TH STREET, CLEVELAND, OH 44110
(216) 599-0238
(216) 383-9683
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2708592
—
OH
Enumeration date
04/06/2007
Last updated
08/22/2020
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