Organization
OUR LADY OF THE WAYSIDE INC.
Active
Other names
Wayside Ride
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY DAVIS (PRESIDENT/CEO)
(440) 934-6007
Entity
Organization
Contact information
Practice address
38135 COLORADO AVE, AVON, OH 44011-1028
(440) 934-6007
Mailing address
38135 COLORADO AVE, AVON, OH 44011-1028
(440) 934-6007
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
475115
OH
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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