Provider Demographics
NPI:1275220170
Name:THE CARE TEAM RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:THE CARE TEAM RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT
Authorized Official - Prefix:
Authorized Official - First Name:SWANEE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-501-6078
Mailing Address - Street 1:508 ASHDOWN PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2164
Mailing Address - Country:US
Mailing Address - Phone:336-501-6078
Mailing Address - Fax:
Practice Address - Street 1:508 ASHDOWN PL
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2164
Practice Address - Country:US
Practice Address - Phone:336-501-6078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle