Organization
GOOD SHEPHERD TRANSPORT
Active
Other names
Good Shepherd Transport LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WALLACE (CEO)
(513) 544-7015
Entity
Organization
Contact information
Practice address
5720 GATEWAY, SUITE 101, MASON, OH 45040-1891
(513) 823-2021
(513) 488-1934
Mailing address
5720 GATEWAY, SUITE 101, MASON, OH 45040-1891
(513) 823-2021
(513) 488-1934
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
31-583-5
OH
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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