Provider Demographics
NPI:1033423603
Name:SAFARI TRANS INC
Entity Type:Organization
Organization Name:SAFARI TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:HAPPY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-293-6845
Mailing Address - Street 1:5633 N KENMORE AVE
Mailing Address - Street 2:SUITE # 33
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4650
Mailing Address - Country:US
Mailing Address - Phone:773-293-6845
Mailing Address - Fax:773-293-7674
Practice Address - Street 1:5633 N KENMORE AVE
Practice Address - Street 2:SUITE # 33
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-4622
Practice Address - Country:US
Practice Address - Phone:773-293-6845
Practice Address - Fax:773-293-7674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)