Provider Demographics
NPI:1073818209
Name:TU-CARES NON EMERGENT TRANSPORT
Entity Type:Organization
Organization Name:TU-CARES NON EMERGENT TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARTU
Authorized Official - Middle Name:TENNIH
Authorized Official - Last Name:PELIMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-262-0524
Mailing Address - Street 1:3404 ASHLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4951
Mailing Address - Country:US
Mailing Address - Phone:216-262-0524
Mailing Address - Fax:
Practice Address - Street 1:3404 ASHLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4951
Practice Address - Country:US
Practice Address - Phone:216-262-0524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)