Provider Demographics
NPI:1326296203
Name:HALE AND ASSOCIATES TRANSPORTATION
Entity Type:Organization
Organization Name:HALE AND ASSOCIATES TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MS
Authorized Official - First Name:LATRECIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-559-0991
Mailing Address - Street 1:7056 ARCHIBALD ST
Mailing Address - Street 2:102-421
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8713
Mailing Address - Country:US
Mailing Address - Phone:323-559-0991
Mailing Address - Fax:323-389-1527
Practice Address - Street 1:7592 TURTLE MOUNTAIN CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-1018
Practice Address - Country:US
Practice Address - Phone:323-559-0991
Practice Address - Fax:323-389-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA349320343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)