Provider Demographics
NPI:1174376495
Name:DUCHESS TRANSPORTATION AND LOGISTICS
Entity type:Organization
Organization Name:DUCHESS TRANSPORTATION AND LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NANA
Authorized Official - Middle Name:AKWASI
Authorized Official - Last Name:ADU-POKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-426-4822
Mailing Address - Street 1:8415 BENT MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9090
Mailing Address - Country:US
Mailing Address - Phone:571-426-4822
Mailing Address - Fax:
Practice Address - Street 1:8415 BENT MAPLE CT
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9090
Practice Address - Country:US
Practice Address - Phone:571-426-4822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1699527754Medicaid