Provider Demographics
NPI:1851848493
Name:HOREB TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HOREB TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:YEMANE
Authorized Official - Last Name:ZEWELDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-476-4360
Mailing Address - Street 1:5718 N BLACK CANYON HWY
Mailing Address - Street 2:36
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017
Mailing Address - Country:US
Mailing Address - Phone:602-476-4360
Mailing Address - Fax:
Practice Address - Street 1:5718 N BLACK CANYON HWY
Practice Address - Street 2:36
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017
Practice Address - Country:US
Practice Address - Phone:602-476-4360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)