Provider Demographics
NPI:1649828989
Name:SAFERIDE TRANSPORTATION LLC
Entity type:Organization
Organization Name:SAFERIDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NIDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAALI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:757-241-0725
Mailing Address - Street 1:1333 POINDEXTER ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-2428
Mailing Address - Country:US
Mailing Address - Phone:572-417-0725
Mailing Address - Fax:757-963-9515
Practice Address - Street 1:1333 POINDEXTER ST STE 1
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-2428
Practice Address - Country:US
Practice Address - Phone:757-241-0725
Practice Address - Fax:757-963-9515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)