Provider Demographics
NPI:1558683441
Name:SAFE RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:SAFE RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:DEJON
Authorized Official - Last Name:LENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-930-2418
Mailing Address - Street 1:50640 HAWTHORNE CT
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-6818
Mailing Address - Country:US
Mailing Address - Phone:313-930-2418
Mailing Address - Fax:866-410-6170
Practice Address - Street 1:50640 HAWTHORNE CT
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-6818
Practice Address - Country:US
Practice Address - Phone:313-930-2418
Practice Address - Fax:866-410-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL535870139780343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)