Provider Demographics
NPI:1558354415
Name:AMANDA'S
Entity Type:Organization
Organization Name:AMANDA'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-786-1826
Mailing Address - Street 1:827 WYLEY AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2316
Mailing Address - Country:US
Mailing Address - Phone:330-786-1826
Mailing Address - Fax:330-786-1826
Practice Address - Street 1:827 WYLEY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2316
Practice Address - Country:US
Practice Address - Phone:330-786-1826
Practice Address - Fax:330-786-1826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)