Organization
CREATIVE COACH CO
Active
Other names
Fun Bus
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA VAUGHN (PRESIDENT)
(740) 653-4600
Entity
Organization
Contact information
Practice address
2188 E MAIN ST, LANCASTER, OH 43130-9351
(740) 653-4600
(740) 653-4606
Mailing address
2188 E MAIN ST, LANCASTER, OH 43130-9351
(740) 653-4600
(740) 653-4606
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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