Provider Demographics
NPI:1659865285
Name:ETERNAL TRANSPORTATION ENTERPRISES, LLC
Entity Type:Organization
Organization Name:ETERNAL TRANSPORTATION ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWATOYIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OJEYOMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-256-8221
Mailing Address - Street 1:14357 TURNEY RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-4716
Mailing Address - Country:US
Mailing Address - Phone:301-256-8221
Mailing Address - Fax:
Practice Address - Street 1:14357 TURNEY RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-4716
Practice Address - Country:US
Practice Address - Phone:301-256-8221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2444882343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)