Provider Demographics
NPI:1205567088
Name:SAFE PASSAGE TRANSPORTATION
Entity type:Organization
Organization Name:SAFE PASSAGE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAIMAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:FENNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-659-6334
Mailing Address - Street 1:8324 TURNER FOREST RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-7658
Mailing Address - Country:US
Mailing Address - Phone:804-659-6334
Mailing Address - Fax:
Practice Address - Street 1:8324 TURNER FOREST RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-7658
Practice Address - Country:US
Practice Address - Phone:804-659-6334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)