Provider Demographics
NPI:1235886771
Name:FAST&RELIABLED LLC
Entity Type:Organization
Organization Name:FAST&RELIABLED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IYSHEA
Authorized Official - Middle Name:SHAMEEKA
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-230-6238
Mailing Address - Street 1:46 BOYLAN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1812
Mailing Address - Country:US
Mailing Address - Phone:862-230-6238
Mailing Address - Fax:631-850-6402
Practice Address - Street 1:46 BOYLAN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1812
Practice Address - Country:US
Practice Address - Phone:862-230-6238
Practice Address - Fax:631-850-6402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)