MEDICARE: 'A' SAFE HANDS 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	343900000X	Non-emergency Medical Transport (VAN)		NC

General Provider Information

NPI Number	:	1508189457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	'A' SAFE HANDS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	403 SHERWOOD CT
Second Line	:
City	:	EDEN
State	:	NC
Zip	:	27288-2872
Country	:	US
Telephone Number	:	336-623-3502
Fax Number	:	336-623-3502

Provider Business Practice Location Address
First Line	:	169 LEISURELAND DR
Second Line	:
City	:	RUFFIN
State	:	NC
Zip	:	27326-9144
Country	:	US
Telephone Number	:	336-623-3502
Fax Number	:	336-623-3502

Authorized Official
Title or Position	:	OWNER
Name	:	CONSTANCE A MARTIN
Credential	:
Telephone Number	:	336-623-3502

Provider Enumeration Date	:	03/07/2010
Last Update Date	:	03/07/2010

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