Provider Demographics
NPI:1740897982
Name:YOUR WAY TRANSPORTATION LLC
Entity type:Organization
Organization Name:YOUR WAY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:DOMOND
Authorized Official - Last Name:VILSAINT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:203-223-7749
Mailing Address - Street 1:91 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-6425
Mailing Address - Country:US
Mailing Address - Phone:203-223-7749
Mailing Address - Fax:
Practice Address - Street 1:91 SOUTHWOOD DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-6425
Practice Address - Country:US
Practice Address - Phone:203-223-7749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)