Provider Demographics
NPI:1609552769
Name:OVERFLO SENIOR TRANSPORTATION
Entity Type:Organization
Organization Name:OVERFLO SENIOR TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABERNATHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-952-1639
Mailing Address - Street 1:1495 NATHANIAL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2160
Mailing Address - Country:US
Mailing Address - Phone:513-952-1639
Mailing Address - Fax:
Practice Address - Street 1:1495 NATHANIAL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2160
Practice Address - Country:US
Practice Address - Phone:513-952-1639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle