Provider Demographics
NPI:1811502693
Name:SERVANDO TRANSPORT SERVICES INC.
Entity type:Organization
Organization Name:SERVANDO TRANSPORT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-750-7904
Mailing Address - Street 1:1361 SNYDER AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-8901
Mailing Address - Country:US
Mailing Address - Phone:408-750-7904
Mailing Address - Fax:
Practice Address - Street 1:1361 SNYDER AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-8901
Practice Address - Country:US
Practice Address - Phone:408-750-7904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4634633OtherSECRETARY OF STATE ARTICLES OF INCORPORATION REGISTRATION