Provider Demographics
NPI:1801064985
Name:AMOUR TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:AMOUR TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCRETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-868-2728
Mailing Address - Street 1:6517 CANYON CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5422
Mailing Address - Country:US
Mailing Address - Phone:916-868-2728
Mailing Address - Fax:
Practice Address - Street 1:6517 CANYON CREEK WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5422
Practice Address - Country:US
Practice Address - Phone:916-868-2728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)