Organization
PREMIUM TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GANZA (OWNER/MANAGER)
(614) 615-6665
Entity
Organization
Contact information
Practice address
7475 FAIRFIELD LAKES DR, POWELL, OH 43065-7881
(614) 615-6665
Mailing address
7475 FAIRFIELD LAKES DR, POWELL, OH 43065-7881
(614) 615-6665
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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