Provider Demographics
NPI:1417701327
Name:GOD MADE A WAY RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:GOD MADE A WAY RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATARSHA
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:CALLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-924-8020
Mailing Address - Street 1:1100 HIGHWAY 90 W APT 408
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-4015
Mailing Address - Country:US
Mailing Address - Phone:713-924-8020
Mailing Address - Fax:
Practice Address - Street 1:1100 HIGHWAY 90 W APT 408
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-4015
Practice Address - Country:US
Practice Address - Phone:713-924-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle