Provider Demographics
NPI:1700176146
Name:FAITH TRANSPORT INC.
Entity type:Organization
Organization Name:FAITH TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ADEPEJU
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-440-3366
Mailing Address - Street 1:5204 ASHLEIGH GLEN CT
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9148
Mailing Address - Country:US
Mailing Address - Phone:301-440-3366
Mailing Address - Fax:301-262-3705
Practice Address - Street 1:5204 ASHLEIGH GLEN CT
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9148
Practice Address - Country:US
Practice Address - Phone:301-440-3366
Practice Address - Fax:301-262-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0003712126343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)