Provider Demographics
NPI:1023856747
Name:RELIABLE SHUTTLE SERVICE INC.
Entity type:Organization
Organization Name:RELIABLE SHUTTLE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERCELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-383-1250
Mailing Address - Street 1:439 WESTWOOD SHOPPING CENTER
Mailing Address - Street 2:#1
Mailing Address - City:FAYETTELILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314
Mailing Address - Country:US
Mailing Address - Phone:919-841-2905
Mailing Address - Fax:
Practice Address - Street 1:854 SANTIATO DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1532
Practice Address - Country:US
Practice Address - Phone:919-841-2905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLKBERRY ENTERPRISE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)