Provider Demographics
NPI:1043814494
Name:SAFE FAM TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SAFE FAM TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREHIWOT
Authorized Official - Middle Name:MENGSTE
Authorized Official - Last Name:AYELE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,
Authorized Official - Phone:720-787-5512
Mailing Address - Street 1:1150 SYRACUSE ST APT 11-208
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3231
Mailing Address - Country:US
Mailing Address - Phone:720-787-5512
Mailing Address - Fax:
Practice Address - Street 1:1150 SYRACUSE ST APT 11-208
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3231
Practice Address - Country:US
Practice Address - Phone:720-787-5512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)