Provider Demographics
NPI:1760852883
Name:CLASSIC NON EMERGENCY TRANSPORTATION
Entity Type:Organization
Organization Name:CLASSIC NON EMERGENCY TRANSPORTATION
Other - Org Name:BIBI AKLIMA ALI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BIBI
Authorized Official - Middle Name:AKLIMA
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-819-6488
Mailing Address - Street 1:1032 OLD PEACHTREE RD NW # 401-204
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3324
Mailing Address - Country:US
Mailing Address - Phone:404-819-6488
Mailing Address - Fax:678-226-9914
Practice Address - Street 1:1032 OLD PEACHTREE RD NW # 401-204
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3324
Practice Address - Country:US
Practice Address - Phone:404-819-6488
Practice Address - Fax:678-226-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)