JACK RICHARD SIMMONS

PERRYSBURG, OH
NPI1649874926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2020-11-26
Last Update Date2020-11-26
Business Address
JACK RICHARD SIMMONS
26067 WILLOWBEND RD
PERRYSBURG, OH 43551-9111
Phone number: 740-814-7264
Mailing Address
JACK RICHARD SIMMONS
26067 WILLOWBEND RD
PERRYSBURG, OH 43551-9111
Phone number: 740-814-7264