Organization
HAVEN TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUNDRIA HAWKINS (DIRECTOR)
(216) 338-4126
Entity
Organization
Contact information
Practice address
17822 EUCLID AVE, CLEVELAND, OH 44112-1220
(216) 338-4126
(216) 965-0411
Mailing address
190 S BELVOIR BLVD, SOUTH EUCLID, OH 44121-2345
(216) 338-4126
(216) 965-0411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
189135
OH
347B00000X
Bus
Primary
189135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189135
OHIO MEDICAL TRANSPORTATION BOARD SERVICE NUMBER
OH
Enumeration date
07/03/2012
Last updated
07/03/2012
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