Provider Demographics
NPI:1790058006
Name:TYRONE DANIELS
Entity Type:Organization
Organization Name:TYRONE DANIELS
Other - Org Name:GCE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:T
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-457-4103
Mailing Address - Street 1:1000 HOLBROOK RD
Mailing Address - Street 2:UNIT - A
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4525
Mailing Address - Country:US
Mailing Address - Phone:502-457-4103
Mailing Address - Fax:
Practice Address - Street 1:1000 HOLBROOK RD
Practice Address - Street 2:UNIT - A
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-4525
Practice Address - Country:US
Practice Address - Phone:502-457-4103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)