Provider Demographics
NPI:1225596059
Name:ALLEN AFFORDABLE AND RELIABLE NON-EMERGENCY TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:ALLEN AFFORDABLE AND RELIABLE NON-EMERGENCY TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:704-267-6669
Mailing Address - Street 1:1218 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6017
Mailing Address - Country:US
Mailing Address - Phone:704-267-6669
Mailing Address - Fax:
Practice Address - Street 1:1218 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6017
Practice Address - Country:US
Practice Address - Phone:704-267-6669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle