Provider Demographics
NPI:1740648237
Name:WAY - A LIFE TRANSFORMING INCORORATED
Entity type:Organization
Organization Name:WAY - A LIFE TRANSFORMING INCORORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:HAYES-MCGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-628-1004
Mailing Address - Street 1:7226 W GRANTOSA DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-3951
Mailing Address - Country:US
Mailing Address - Phone:414-628-1004
Mailing Address - Fax:
Practice Address - Street 1:7226 W GRANTOSA DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3951
Practice Address - Country:US
Practice Address - Phone:414-628-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)