Provider Demographics
NPI:1013778323
Name:WALK BY FAITH TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:WALK BY FAITH TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-771-3599
Mailing Address - Street 1:1685 WILLIAM AND HAYES LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70722-5629
Mailing Address - Country:US
Mailing Address - Phone:724-771-3599
Mailing Address - Fax:
Practice Address - Street 1:1685 WILLIAM AND HAYES LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:LA
Practice Address - Zip Code:70722-5629
Practice Address - Country:US
Practice Address - Phone:724-771-3599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)