CLUB FOR THE AGES LLC NPI 1679614671

NPI Information

CLUB FOR THE AGES LLC is a non emergency medical transport van in Columbus, OH. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. CLUB FOR THE AGES LLC NPI is 1679614671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1196 W BROAD ST
COLUMBUS, OH
ZIP 43222-319
Phone: (614) 276-0408
Fax: (614) 276-0644

The provider's authorized official is Edward C Mulligan .
The authorized official title is Vice President and has the following contact phone number (614) 570-9795.

The enumeration date for this NPI number is 2/11/2007 and was last updated on 7/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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