Provider Demographics
NPI:1912611161
Name:DREAMWISE TRANSPORT
Entity Type:Organization
Organization Name:DREAMWISE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DREAMWISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DREAMWISE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:856-839-2133
Mailing Address - Street 1:1703 GREEN VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-8650
Mailing Address - Country:US
Mailing Address - Phone:856-839-2133
Mailing Address - Fax:
Practice Address - Street 1:2535 S DELSEA DRIVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-212-3999
Practice Address - Fax:856-839-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty