Provider Demographics
NPI:1508681875
Name:GO RELIABLE
Entity type:Organization
Organization Name:GO RELIABLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:STROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-845-4878
Mailing Address - Street 1:14 EMBER LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2420
Mailing Address - Country:US
Mailing Address - Phone:609-845-4878
Mailing Address - Fax:
Practice Address - Street 1:14 EMBER LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2420
Practice Address - Country:US
Practice Address - Phone:609-845-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)