Provider Demographics
NPI:1841797222
Name:TRANSPORT AND LOGISTICS CARE
Entity Type:Organization
Organization Name:TRANSPORT AND LOGISTICS CARE
Other - Org Name:DABAKH TLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PAPA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GUEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-876-6769
Mailing Address - Street 1:4517 BUFFLE HEAD WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4090
Mailing Address - Country:US
Mailing Address - Phone:502-876-6769
Mailing Address - Fax:
Practice Address - Street 1:4517 BUFFLE HEAD WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4090
Practice Address - Country:US
Practice Address - Phone:502-876-6769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYC4189343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)