Provider Demographics
NPI:1710213061
Name:DEPENDABLE TRANSPORT
Entity Type:Organization
Organization Name:DEPENDABLE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:VILORIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-930-6091
Mailing Address - Street 1:2925 E BRANDON LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4475
Mailing Address - Country:US
Mailing Address - Phone:559-324-1588
Mailing Address - Fax:
Practice Address - Street 1:2925 E BRANDON LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4475
Practice Address - Country:US
Practice Address - Phone:559-324-1588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)