Provider Demographics
NPI:1578329405
Name:STEDEYO NEMT LLC
Entity Type:Organization
Organization Name:STEDEYO NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DEWAYNE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:903-343-6993
Mailing Address - Street 1:10978 COUNTY ROAD 342
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75706-2110
Mailing Address - Country:US
Mailing Address - Phone:903-343-6993
Mailing Address - Fax:
Practice Address - Street 1:10978 COUNTY ROAD 342
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75706-2110
Practice Address - Country:US
Practice Address - Phone:903-343-6993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)