Provider Demographics
NPI:1295593424
Name:FAYEBAY TRANSPORT LLC
Entity type:Organization
Organization Name:FAYEBAY TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:BETHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-260-1143
Mailing Address - Street 1:621 S 9TH AVE APT D6
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-3867
Mailing Address - Country:US
Mailing Address - Phone:843-260-1143
Mailing Address - Fax:
Practice Address - Street 1:621 S 9TH AVE APT D6
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-3867
Practice Address - Country:US
Practice Address - Phone:843-260-1143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)