Provider Demographics
NPI:1811203086
Name:C-RYTE SAFE AND RELIABLE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:C-RYTE SAFE AND RELIABLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LANORE
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-299-3867
Mailing Address - Street 1:1585 CROWN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5520
Mailing Address - Country:US
Mailing Address - Phone:214-299-3867
Mailing Address - Fax:214-618-4488
Practice Address - Street 1:1585 CROWN VIEW DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5520
Practice Address - Country:US
Practice Address - Phone:214-299-3867
Practice Address - Fax:214-618-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29166769347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41967Medicaid