Provider Demographics
NPI:1013751353
Name:YOSOR DREAM TRANSPORTATION LLC
Entity type:Organization
Organization Name:YOSOR DREAM TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MR
Authorized Official - Prefix:
Authorized Official - First Name:YOSEPH
Authorized Official - Middle Name:GEBRE
Authorized Official - Last Name:GEMTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-746-5234
Mailing Address - Street 1:446 PRUDEN DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-2243
Mailing Address - Country:US
Mailing Address - Phone:614-746-5234
Mailing Address - Fax:
Practice Address - Street 1:446 PRUDEN DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-2243
Practice Address - Country:US
Practice Address - Phone:614-746-5234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)