Provider Demographics
NPI:1831727346
Name:SELFLESS SERVICE TRANSPORTATION LLC
Entity type:Organization
Organization Name:SELFLESS SERVICE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEVETTE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-685-5991
Mailing Address - Street 1:523 APPOMATTOX ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23523-1616
Mailing Address - Country:US
Mailing Address - Phone:757-685-5991
Mailing Address - Fax:
Practice Address - Street 1:523 APPOMATTOX ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23523-1616
Practice Address - Country:US
Practice Address - Phone:757-685-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHEASTRANS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty