Provider Demographics
NPI:1629643911
Name:MARQUENSY TRAJEAN
Entity Type:Organization
Organization Name:MARQUENSY TRAJEAN
Other - Org Name:RED BUS PICKUP NON-EMERGENCY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUENSY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAJEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-650-6988
Mailing Address - Street 1:10736 BANFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7782
Mailing Address - Country:US
Mailing Address - Phone:813-650-6988
Mailing Address - Fax:
Practice Address - Street 1:10736 BANFIELD DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7782
Practice Address - Country:US
Practice Address - Phone:813-650-6988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)