Provider Demographics
NPI:1558885731
Name:SALAM LLC
Entity Type:Organization
Organization Name:SALAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTALLAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-531-1186
Mailing Address - Street 1:1311 NUNLEY ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-3857
Mailing Address - Country:US
Mailing Address - Phone:434-531-1186
Mailing Address - Fax:
Practice Address - Street 1:1311 NUNLEY ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3857
Practice Address - Country:US
Practice Address - Phone:434-531-1186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)