Provider Demographics
NPI:1093095754
Name:GOING YOUR WAY TRANSPORT L.L.C
Entity Type:Organization
Organization Name:GOING YOUR WAY TRANSPORT L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBUERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-261-8919
Mailing Address - Street 1:8109 KORMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-2139
Mailing Address - Country:US
Mailing Address - Phone:216-261-8919
Mailing Address - Fax:
Practice Address - Street 1:27801 EUCLID AVE STE 500
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3500
Practice Address - Country:US
Practice Address - Phone:216-261-8919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH188875343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)