Provider Demographics
NPI:1982327201
Name:KEYSLINE AUTOMOTIVE INC.
Entity Type:Organization
Organization Name:KEYSLINE AUTOMOTIVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI-NSAFOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-506-5720
Mailing Address - Street 1:11 APEX DR.
Mailing Address - Street 2:#300A PMB 1009
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:240-506-5720
Mailing Address - Fax:
Practice Address - Street 1:11 APEX DR.
Practice Address - Street 2:#300A PMB 1009
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:240-506-5720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No251E00000XAgenciesHome Health
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle