Provider Demographics
NPI:1821314212
Name:SYMISTER HOPE LLC
Entity Type:Organization
Organization Name:SYMISTER HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:RICARDO
Authorized Official - Last Name:SYMISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-207-1906
Mailing Address - Street 1:8301 AMBER LANTERN ST
Mailing Address - Street 2:APT 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-4577
Mailing Address - Country:US
Mailing Address - Phone:973-207-1906
Mailing Address - Fax:
Practice Address - Street 1:8301 AMBER LANTERN ST
Practice Address - Street 2:APT 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-4577
Practice Address - Country:US
Practice Address - Phone:973-207-1906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-11
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)