Provider Demographics
NPI:1831957497
Name:MRB NON-EMERGENCY TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:MRB NON-EMERGENCY TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARRACKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:140-762-7272
Mailing Address - Street 1:936 LOQUAT TREE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-8301
Mailing Address - Country:US
Mailing Address - Phone:407-627-2727
Mailing Address - Fax:
Practice Address - Street 1:936 LOQUAT TREE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-8301
Practice Address - Country:US
Practice Address - Phone:407-627-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)