Healthcare Provider Details

I. General information

NPI: 1346906260
Provider Name (Legal Business Name): SAFE TRIP TAXI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 ARTIS WAY
LOUISVILLE KY
40291-6719
US

IV. Provider business mailing address

9201 ARTIS WAY
LOUISVILLE KY
40291-6719
US

V. Phone/Fax

Practice location:
  • Phone: 502-338-8072
  • Fax:
Mailing address:
  • Phone: 502-338-8072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: ABUBACARR SALLAH
Title or Position: GENERAL MANAGER
Credential:
Phone: 502-338-8072