Organization
LUXE RIDE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVON ANTHONY DANIELS (VICE PRESIDENT)
(614) 707-7413
Entity
Organization
Contact information
Practice address
15 S GARFIELD AVE, APT 2, COLUMBUS, OH 43205-5002
(614) 707-7413
Mailing address
15 S GARFIELD AVE, APT 2, COLUMBUS, OH 43205-5002
(614) 707-7413
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
SJ424753
OH
347C00000X
Private Vehicle
Primary
SN568256
OH
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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