Provider Demographics
NPI:1407130800
Name:D AND D SAFE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:D AND D SAFE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANNAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYBROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-981-7560
Mailing Address - Street 1:337 HAMLIN ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46406-1338
Mailing Address - Country:US
Mailing Address - Phone:219-981-7560
Mailing Address - Fax:
Practice Address - Street 1:337 HAMLIN ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46406-1338
Practice Address - Country:US
Practice Address - Phone:219-981-7560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN347C00000X347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle