Healthcare Provider Details

I. General information

NPI: 1205769361
Provider Name (Legal Business Name): RELIABLE SHUTTLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 PECAN TREE DR
MONTGOMERY AL
36109-1823
US

IV. Provider business mailing address

403 PECAN TREE DR
MONTGOMERY AL
36109-1823
US

V. Phone/Fax

Practice location:
  • Phone: 334-721-1796
  • Fax: 334-460-9849
Mailing address:
  • Phone: 334-721-1796
  • Fax: 334-460-9849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. LAQURN EUGENE ANDREWS
Title or Position: OWNER
Credential:
Phone: 334-462-3136