Organization
PREMIER OHIO TRANSPORTATION IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELONTE FOMBY (CEO)
(216) 410-4751
Entity
Organization
Contact information
Practice address
17325 EUCLID AVE STE 3029, CLEVELAND, OH 44112-1255
(216) 410-4751
Mailing address
17325 EUCLID AVE STE 3029, CLEVELAND, OH 44112-1255
(216) 410-4751
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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