Provider Demographics
NPI:1942008586
Name:EITH'S LIAISON SERVICES
Entity type:Organization
Organization Name:EITH'S LIAISON SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:EITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-210-3737
Mailing Address - Street 1:1540 HONEY CREEK RD W
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813-9037
Mailing Address - Country:US
Mailing Address - Phone:419-210-3737
Mailing Address - Fax:
Practice Address - Street 1:1540 HONEY CREEK RD W
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:OH
Practice Address - Zip Code:44813-9037
Practice Address - Country:US
Practice Address - Phone:419-210-3737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)