Provider Demographics
NPI:1770038655
Name:SULAY ENTERPRISES INCORPORATED
Entity Type:Organization
Organization Name:SULAY ENTERPRISES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SULAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-386-5981
Mailing Address - Street 1:7137 ADWEN ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4153
Mailing Address - Country:US
Mailing Address - Phone:323-386-5981
Mailing Address - Fax:562-928-8785
Practice Address - Street 1:7137 ADWEN ST
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4153
Practice Address - Country:US
Practice Address - Phone:323-386-5981
Practice Address - Fax:562-928-8785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3264153343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)