Organization
FUTURE AGE INC.
Active
Other names
Provide A Ride
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GROEDEL (PRESIDENT)
(216) 475-1001
Entity
Organization
Contact information
Practice address
4299 CRANWOOD PKWY, CLEVELAND, OH 44128-4087
(216) 475-1001
(216) 475-1132
Mailing address
4299 CRANWOOD PKWY, CLEVELAND, OH 44128-4087
(216) 475-1001
(216) 475-1132
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
185295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0740292
—
OH
Enumeration date
02/26/2007
Last updated
08/22/2020
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