Our Lady of the Wayside Inc.

NPI #1437505773 in Avon, Ohio

Provider Information

NPI Number
1437505773
Entity Type
Organization
Organization Name
Our Lady of the Wayside Inc.
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
May 5, 2016
Last Updated
May 5, 2016

Practice Location

Address
38135 COLORADO AVE
City
Avon
State
Ohio
ZIP Code
44011-1028
Phone
(440) 934-6007

Authorized Official

Name
MR. TERRY DAVIS
Title
PRESIDENT/CEO
Phone
(440) 934-6007

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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