Organization
LIFETIME TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LIBAN ISMAIL AWALE (SUPERVISOR)
(614) 632-9850
Entity
Organization
Contact information
Practice address
749 SULLIVANT AVE, COLUMBUS, OH 43222-1678
(614) 632-9850
Mailing address
749 SULLIVANT AVE, COLUMBUS, OH 43222-1678
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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