Provider Demographics
NPI:1114231024
Name:CHERRY TREES TRANSPORTATION, INC
Entity Type:Organization
Organization Name:CHERRY TREES TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CERISIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-225-5134
Mailing Address - Street 1:990 HIGHWAY 287 N
Mailing Address - Street 2:SUITE 106, PMB 141
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2607
Mailing Address - Country:US
Mailing Address - Phone:817-225-5134
Mailing Address - Fax:866-680-6048
Practice Address - Street 1:2351 W NORTHWEST HWY
Practice Address - Street 2:SUITE 1308
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-4433
Practice Address - Country:US
Practice Address - Phone:817-225-5134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)