Provider Demographics
NPI:1407607559
Name:FIDUCIA TRANSPORTATION & SERVICES LLC
Entity Type:Organization
Organization Name:FIDUCIA TRANSPORTATION & SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAZAK
Authorized Official - Middle Name:ABDILLAHI
Authorized Official - Last Name:DJAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:643-343-8242
Mailing Address - Street 1:126 WESTERN AVE # 1048
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-7249
Mailing Address - Country:US
Mailing Address - Phone:631-343-8242
Mailing Address - Fax:
Practice Address - Street 1:126 WESTERN AVE # 1048
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-7249
Practice Address - Country:US
Practice Address - Phone:631-343-8242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)