Countryside Medical Transit, LLC

NPI #1790524940 in Conover, Ohio

Provider Information

NPI Number: 1790524940
Entity Type: Organization
Organization Name: Countryside Medical Transit, LLC
Primary Specialty: Private Vehicle
Enumeration Date: May 20, 2024
Last Updated: May 20, 2024

Practice Location

Address: 979 N STATE ROUTE 589
City: Conover
State: Ohio
ZIP Code: 45317-9500
Phone: (937) 405-9787

Authorized Official

Name: MRS. ROBIN SUZANNE WOODS
Title: OWNER
Phone: (937) 405-9787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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