Provider Demographics
NPI:1790050599
Name:SAFE TRACK TRANSPORTATION
Entity Type:Organization
Organization Name:SAFE TRACK TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:TALEB MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-308-2560
Mailing Address - Street 1:532 GREENFIELD LN
Mailing Address - Street 2:18
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1361
Mailing Address - Country:US
Mailing Address - Phone:859-308-2560
Mailing Address - Fax:859-577-0824
Practice Address - Street 1:532 GREENFIELD LN
Practice Address - Street 2:18
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1361
Practice Address - Country:US
Practice Address - Phone:859-308-2560
Practice Address - Fax:859-577-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYM95347742347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle