Provider Demographics
NPI:1043941057
Name:M. & D. NEMT SERVICES LLC
Entity Type:Organization
Organization Name:M. & D. NEMT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SHREVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-424-7413
Mailing Address - Street 1:4104 MEADOWVIEW DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2126
Mailing Address - Country:US
Mailing Address - Phone:740-424-7413
Mailing Address - Fax:
Practice Address - Street 1:4104 MEADOWVIEW DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2126
Practice Address - Country:US
Practice Address - Phone:740-424-7413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)