Provider Demographics
NPI:1376216614
Name:C & T SENIOR TRANSPORTATION,LLC
Entity type:Organization
Organization Name:C & T SENIOR TRANSPORTATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-792-4168
Mailing Address - Street 1:3150 WINDSONG DR APT 2101
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-3714
Mailing Address - Country:US
Mailing Address - Phone:850-792-4168
Mailing Address - Fax:850-846-6131
Practice Address - Street 1:3150 WINDSONG DR APT 2101
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-3714
Practice Address - Country:US
Practice Address - Phone:850-792-4168
Practice Address - Fax:850-846-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)