Provider Demographics
NPI:1245631969
Name:SIGNATURE TRANSPORTATION SERVICES, LLC
Entity type:Organization
Organization Name:SIGNATURE TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MENA
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:SHEHATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-273-9256
Mailing Address - Street 1:755 W BIG BEAVER RD
Mailing Address - Street 2:SUITE #1111
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4900
Mailing Address - Country:US
Mailing Address - Phone:248-825-4606
Mailing Address - Fax:
Practice Address - Street 1:755 W BIG BEAVER RD
Practice Address - Street 2:SUITE #1111
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4900
Practice Address - Country:US
Practice Address - Phone:248-825-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)