Organization
L.I.S. TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN J. SILVA-GLENN (CEO)
(216) 399-1016
Entity
Organization
Contact information
Practice address
15010 LISA DR, MAPLE HEIGHTS, OH 44137-4168
(216) 399-1016
(216) 713-0205
Mailing address
15010 LISA DR, MAPLE HEIGHTS, OH 44137-4168
(216) 399-1016
(216) 713-0205
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341070
—
OH
Enumeration date
04/05/2019
Last updated
03/08/2021
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