Provider Demographics
NPI:1821699208
Name:ELEGANCE TRANSPORTATION
Entity Type:Organization
Organization Name:ELEGANCE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:AKANBI
Authorized Official - Last Name:SALAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-757-2803
Mailing Address - Street 1:718 HONEYBUSH DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2669
Mailing Address - Country:US
Mailing Address - Phone:832-757-2803
Mailing Address - Fax:
Practice Address - Street 1:718 HONEYBUSH DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2669
Practice Address - Country:US
Practice Address - Phone:832-757-2803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)