MEDICARE: SAFE JOURNEY TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1194411025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE JOURNEY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9010 GEORGE WASHINGTON MEMORIAL HWY
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-4161
Country	:	US
Telephone Number	:	757-367-9196
Fax Number	:

Provider Business Practice Location Address
First Line	:	9010 GEORGE WASHINGTON MEMORIAL HWY
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-4161
Country	:	US
Telephone Number	:	757-367-9196
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LINDA L CANHAM
Credential	:
Telephone Number	:	757-367-9196

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	11/07/2023

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