Provider Demographics
NPI:1770163362
Name:SURE MODES OF EVERYDAY TRANSPORTATION LLC
Entity type:Organization
Organization Name:SURE MODES OF EVERYDAY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DASMON
Authorized Official - Middle Name:JOSHAUN
Authorized Official - Last Name:ELLERBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-568-6767
Mailing Address - Street 1:6184 TIMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2182
Mailing Address - Country:US
Mailing Address - Phone:910-568-6767
Mailing Address - Fax:910-229-2914
Practice Address - Street 1:6184 TIMBERLAND DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2182
Practice Address - Country:US
Practice Address - Phone:910-568-6767
Practice Address - Fax:910-229-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)