Provider Demographics
NPI:1912752700
Name:PRAISE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:PRAISE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUWALEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUWATULA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:612-598-7468
Mailing Address - Street 1:9613 STRAIGHTAWAY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-8949
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9613 STRAIGHTAWAY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-8949
Practice Address - Country:US
Practice Address - Phone:612-598-7468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)