Provider Demographics
NPI:1417265703
Name:TRANSPORTATION 4 U
Entity Type:Organization
Organization Name:TRANSPORTATION 4 U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CICELY
Authorized Official - Middle Name:RAYMIL
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-305-5364
Mailing Address - Street 1:PO BOX 280304
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38168-0304
Mailing Address - Country:US
Mailing Address - Phone:901-305-5364
Mailing Address - Fax:901-385-1957
Practice Address - Street 1:4070 KERWIN DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-2148
Practice Address - Country:US
Practice Address - Phone:901-305-5364
Practice Address - Fax:901-385-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)