Provider Demographics
NPI:1205487956
Name:ANOLA TRANSPORTATION ON DEMAND
Entity type:Organization
Organization Name:ANOLA TRANSPORTATION ON DEMAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JUNIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-315-8781
Mailing Address - Street 1:118 RUGBY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-1138
Mailing Address - Country:US
Mailing Address - Phone:585-464-0723
Mailing Address - Fax:585-235-0239
Practice Address - Street 1:118 RUGBY AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-1138
Practice Address - Country:US
Practice Address - Phone:585-464-0723
Practice Address - Fax:585-235-0239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)