Organization
PROVIDENCE SENIOR TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY RUEGG (OWNER)
(330) 361-1154
Entity
Organization
Contact information
Practice address
4684 MASSILLON RD, NORTH CANTON, OH 44720-1137
(855) 850-5555
(330) 899-9780
Mailing address
4684 MASSILLON RD, NORTH CANTON, OH 44720-1137
(855) 850-5555
(330) 899-9780
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/17/2018
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