Provider Demographics
NPI:1962020370
Name:GAFFY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GAFFY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ISHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-288-8789
Mailing Address - Street 1:PO BOX 41464
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02940-1464
Mailing Address - Country:US
Mailing Address - Phone:401-288-8789
Mailing Address - Fax:
Practice Address - Street 1:365 SIMMONSVILLE AVE APT 2201
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-6075
Practice Address - Country:US
Practice Address - Phone:401-288-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-12
Last Update Date:2020-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)