Provider Demographics
NPI:1134845290
Name:TRANSPORT TOLEDO COMPANY L.L.C
Entity type:Organization
Organization Name:TRANSPORT TOLEDO COMPANY L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAFIYA
Authorized Official - Middle Name:I
Authorized Official - Last Name:EYOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-508-3921
Mailing Address - Street 1:4323 NANTUCKETT DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3111
Mailing Address - Country:US
Mailing Address - Phone:419-508-3921
Mailing Address - Fax:419-214-0180
Practice Address - Street 1:4323 NANTUCKETT DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3111
Practice Address - Country:US
Practice Address - Phone:419-508-3921
Practice Address - Fax:419-214-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH202214702520OtherOHIO LICENSE