Provider Demographics
NPI:1619406782
Name:SAFECARE TRANSPOTATION LLC
Entity Type:Organization
Organization Name:SAFECARE TRANSPOTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:GULLY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:318-560-2732
Mailing Address - Street 1:3201 KNIGHT ST APT 207
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2729
Mailing Address - Country:US
Mailing Address - Phone:318-560-2732
Mailing Address - Fax:
Practice Address - Street 1:3201 KNIGHT # 207
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105
Practice Address - Country:US
Practice Address - Phone:318-560-2732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)