Organization
FAZARI TRANSPORTATION LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THADDEUS ROBERT WAGABA (OWNER)
(216) 338-9315
Entity
Organization
Contact information
Practice address
17705 LAKE SHORE BLVD, CLEVELAND, OH 44119-2635
(216) 338-9315
(216) 481-8122
Mailing address
17705 LAKE SHORE BLVD, CLEVELAND, OH 44119-2635
(216) 338-9315
(216) 481-8122
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
OH
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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