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Organization

LIVING SIMPLY TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES E SMITH JR. (PRESIDENT)
(440) 623-9148
Entity
Organization

Contact information

Practice address
12103 UNION AVE., CLEVELAND, OH 44120
(440) 623-9148
Mailing address
3707 AVONDALE RD, WOODMERE, OH 44122-4503
(440) 623-9148

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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