Provider Demographics
NPI:1417127465
Name:ALAFIA TRANSPORTATION
Entity Type:Organization
Organization Name:ALAFIA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:OLUWADARE
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:CPR, MAVT
Authorized Official - Phone:973-280-7154
Mailing Address - Street 1:32 TREACY AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-1513
Mailing Address - Country:US
Mailing Address - Phone:973-280-7154
Mailing Address - Fax:973-273-1050
Practice Address - Street 1:32 TREACY AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-1513
Practice Address - Country:US
Practice Address - Phone:973-280-7154
Practice Address - Fax:973-273-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)