Organization
BLAZE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DRUCILLA SIMPSON (OWNER)
(419) 377-3620
Entity
Organization
Contact information
Practice address
2829 TREMAINSVILLE RD APT 103, TOLEDO, OH 43613-5335
(419) 377-3620
Mailing address
2829 TREMAINSVILLE RD APT 103, TOLEDO, OH 43613-5335
(419) 377-3620
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RM428113
OH
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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