Organization
LIFECARE WHEELCHAIR TRANSPORTATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT DE LA PORTE EMT-P (VICE PRESIDENT)
(440) 323-6111
Entity
Organization
Contact information
Practice address
218 N ABBE RD, ELYRIA, OH 44035
(440) 323-6111
(440) 365-2266
Mailing address
640 CLEVELAND ST, ELYRIA, OH 44035-4104
(440) 323-6111
(440) 365-2266
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
475015
OH
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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