Provider Demographics
NPI:1184865966
Name:SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY
Entity Type:Organization
Organization Name:SENIOR TRANSPORTATION CONNECTION OF CUYAHOGA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DZIGIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-265-3816
Mailing Address - Street 1:4735 W 150TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-3350
Mailing Address - Country:US
Mailing Address - Phone:216-265-3816
Mailing Address - Fax:
Practice Address - Street 1:4735 W 150TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-3350
Practice Address - Country:US
Practice Address - Phone:216-265-3816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)