Provider Demographics
NPI:1255669461
Name:OHIO DISABILITY TRANISTION SVCS, LLC
Entity Type:Organization
Organization Name:OHIO DISABILITY TRANISTION SVCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:COURTNEE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-585-0048
Mailing Address - Street 1:6031 E MAIN ST
Mailing Address - Street 2:SUITE 158
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3356
Mailing Address - Country:US
Mailing Address - Phone:614-585-0048
Mailing Address - Fax:
Practice Address - Street 1:1500 BRICE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2341
Practice Address - Country:US
Practice Address - Phone:614-585-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-28
Last Update Date:2009-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable