Provider Demographics
NPI:1831731223
Name:ALL VALLEY TRANSPORTATION LLC
Entity type:Organization
Organization Name:ALL VALLEY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IMDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VERYAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-778-3180
Mailing Address - Street 1:4771 2 MILE RD STE B
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2775
Mailing Address - Country:US
Mailing Address - Phone:989-778-1921
Mailing Address - Fax:989-778-3182
Practice Address - Street 1:4771 2 MILE RD STE B
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2775
Practice Address - Country:US
Practice Address - Phone:989-971-2549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5803001479Medicaid