Organization
ALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SUYDAM (OWNER/CEO)
(440) 478-5070
Entity
Organization
Contact information
Practice address
8370 RAVENNA RD, CONCORD TWP, OH 44077-9386
(440) 478-5070
Mailing address
8370 RAVENNA RD, CONCORD TWP, OH 44077-9386
(440) 478-5070
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209383
—
OH
Enumeration date
12/22/2020
Last updated
12/22/2020
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