Provider Demographics
NPI:1902382617
Name:S & R2 LLC
Entity Type:Organization
Organization Name:S & R2 LLC
Other - Org Name:S & R2 LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ECO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT TRANSPORTATION
Authorized Official - Phone:641-242-3002
Mailing Address - Street 1:PO BOX 760083
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-0083
Mailing Address - Country:US
Mailing Address - Phone:734-334-8751
Mailing Address - Fax:734-468-0999
Practice Address - Street 1:515 N CENTER ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1616
Practice Address - Country:US
Practice Address - Phone:641-242-3002
Practice Address - Fax:734-468-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)