Organization
ELITE MEDICAL TRANSPORT OF MANSFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED GROVE (PRESIDENT)
(419) 295-0158
Entity
Organization
Contact information
Practice address
165 MARION AVE, MANSFIELD, OH 44903-2223
(419) 747-9296
(419) 747-9298
Mailing address
165 MARION AVE, MANSFIELD, OH 44903-2223
(419) 747-9296
(419) 747-9298
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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