Provider Demographics
NPI:1528374360
Name:SAFE RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:SAFE RELIABLE TRANSPORTATION
Other - Org Name:NON-MEDICAL TRANSPORTATION COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-383-7095
Mailing Address - Street 1:7383 LAVITA CV
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2699
Mailing Address - Country:US
Mailing Address - Phone:901-383-7095
Mailing Address - Fax:901-383-7095
Practice Address - Street 1:7383 LAVITA CV
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-2699
Practice Address - Country:US
Practice Address - Phone:901-383-7095
Practice Address - Fax:901-383-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN110003702343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)