Provider Demographics
NPI:1306226196
Name:T.E.S.A. TRANSPORTATION LLC
Entity Type:Organization
Organization Name:T.E.S.A. TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-547-0080
Mailing Address - Street 1:11 KING HILL RD
Mailing Address - Street 2:
Mailing Address - City:HIGH BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08829-1625
Mailing Address - Country:US
Mailing Address - Phone:908-547-0080
Mailing Address - Fax:
Practice Address - Street 1:11 KING HILL RD
Practice Address - Street 2:
Practice Address - City:HIGH BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08829-1625
Practice Address - Country:US
Practice Address - Phone:908-547-0080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization