Organization
DYNASTY DESTINATION TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLETTA MCDOUGAL (CEO)
(216) 773-0434
Entity
Organization
Contact information
Practice address
3067 ALBION RD, CLEVELAND, OH 44120-2705
(216) 773-0434
Mailing address
3067 ALBION RD, CLEVELAND, OH 44120-2705
(216) 773-0434
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167730434
TRANSPORTATION
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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