Provider Demographics
NPI:1629300686
Name:GOD IS GOOD NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GOD IS GOOD NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:GOD IS GOOD TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ADELAJA
Authorized Official - Last Name:ADELEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-512-9448
Mailing Address - Street 1:10403 FALLING LEAF CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7507
Mailing Address - Country:US
Mailing Address - Phone:301-512-9448
Mailing Address - Fax:301-322-3312
Practice Address - Street 1:10403 FALLING LEAF CT
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-7507
Practice Address - Country:US
Practice Address - Phone:301-512-9448
Practice Address - Fax:301-322-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3963343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)