Organization
CMJW, INC. DBA KOALA KRUIZERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN THOMAS HECKERT (PRESIDENT / OWNER)
(330) 204-6079
Entity
Organization
Contact information
Practice address
1170 S MAIN ST, NORTH CANTON, OH 44720-4272
(330) 966-2327
(330) 966-2339
Mailing address
1310 N MAIN ST, NORTH CANTON, OH 44720-1977
(330) 966-2327
(330) 966-2339
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420585
—
OH
Enumeration date
03/07/2014
Last updated
02/17/2021
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