Provider Demographics
NPI:1720211816
Name:S.V.F.E. AMBULANCE, LLC
Entity Type:Organization
Organization Name:S.V.F.E. AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHARIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-948-9111
Mailing Address - Street 1:1620 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-7710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:737 BANK ST
Practice Address - Street 2:SUITE A
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-1025
Practice Address - Country:US
Practice Address - Phone:330-948-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)