Provider Demographics
NPI:1750847703
Name:TRUSTED SERVICES
Entity Type:Organization
Organization Name:TRUSTED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTENEH
Authorized Official - Middle Name:T
Authorized Official - Last Name:ABERRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:616-284-9131
Mailing Address - Street 1:3501 SHORELINE DR APT 927
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-4492
Mailing Address - Country:US
Mailing Address - Phone:616-284-9131
Mailing Address - Fax:
Practice Address - Street 1:3501 SHORELINE DR APT 927
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-4492
Practice Address - Country:US
Practice Address - Phone:616-284-9131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)