Provider Demographics
NPI:1720254329
Name:DOUBLE L TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DOUBLE L TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLYNN
Authorized Official - Middle Name:JAONZA
Authorized Official - Last Name:STROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:2/4/2008
Authorized Official - Phone:216-392-6571
Mailing Address - Street 1:451 E 142ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-1901
Mailing Address - Country:US
Mailing Address - Phone:216-392-6571
Mailing Address - Fax:216-531-7147
Practice Address - Street 1:451 E 142ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-1901
Practice Address - Country:US
Practice Address - Phone:216-392-6571
Practice Address - Fax:216-531-7147
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOUBLE L TRANSPOTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200804202580343900000X
OH200804202480347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle