Organization
GOLDEN AGE MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN BATES (PRESIDENT)
(330) 637-7291
Entity
Organization
Contact information
Practice address
2576 MCCLEARY JACOBY RD, CORTLAND, OH 44410-1706
(330) 637-7291
(330) 637-7293
Mailing address
2877 TIMBER CREEK DR N, CORTLAND, OH 44410-1782
(330) 637-7293
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2225863
—
OH
Enumeration date
06/11/2006
Last updated
08/22/2020
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