Provider Demographics
NPI:1659915973
Name:NON EMERGENCY TRANSPORT LLC
Entity Type:Organization
Organization Name:NON EMERGENCY TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALLACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANUM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:407-460-7242
Mailing Address - Street 1:415 GOLDEN ARM RD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-8653
Mailing Address - Country:US
Mailing Address - Phone:407-460-7242
Mailing Address - Fax:
Practice Address - Street 1:415 GOLDEN ARM RD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-8653
Practice Address - Country:US
Practice Address - Phone:407-460-7242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty