Provider Demographics
NPI:1396144606
Name:NEIGHBORHOOD CABULANCE
Entity type:Organization
Organization Name:NEIGHBORHOOD CABULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEKESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-474-7160
Mailing Address - Street 1:PO BOX 58461
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98138-1461
Mailing Address - Country:US
Mailing Address - Phone:206-474-7160
Mailing Address - Fax:
Practice Address - Street 1:4702 DAVIS AVE S
Practice Address - Street 2:FF302
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6225
Practice Address - Country:US
Practice Address - Phone:206-474-7160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)