Country Carriage LLC

NPI #1578050100 in Waynesburg, Ohio

Provider Information

NPI Number
1578050100
Entity Type
Organization
Organization Name
Country Carriage LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 19, 2018
Last Updated
Apr 19, 2018

Practice Location

Address
10180 GERDANVILLE AVE SE
State
Ohio
ZIP Code
44688-9323
Phone
(330) 356-9022

Authorized Official

Name
TARI ANNE HOOVER
Title
CO-PARTENER
Phone
(330) 356-9022

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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