Provider Demographics
NPI:1134593130
Name:FAMILY HAND TRANSPORTATION
Entity type:Organization
Organization Name:FAMILY HAND TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPVON
Authorized Official - Middle Name:
Authorized Official - Last Name:REVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-586-9160
Mailing Address - Street 1:2043 W CHELTENHAM AVE
Mailing Address - Street 2:A
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1002
Mailing Address - Country:US
Mailing Address - Phone:917-586-9160
Mailing Address - Fax:
Practice Address - Street 1:2043 W CHELTENHAM AVE
Practice Address - Street 2:A
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1002
Practice Address - Country:US
Practice Address - Phone:917-586-9160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-14
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)