Healthcare Provider Details

I. General information

NPI: 1275444879
Provider Name (Legal Business Name): SAFEROUTE MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9789 GOOD LUCK RD APT 16
LANHAM MD
20706-3343
US

IV. Provider business mailing address

9789 GOOD LUCK RD APT 16
LANHAM MD
20706-3343
US

V. Phone/Fax

Practice location:
  • Phone: 301-503-3437
  • Fax:
Mailing address:
  • Phone: 301-503-3437
  • Fax:

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: KADIATU HAJA SYLLA
Title or Position: OWNER
Credential: DRIVER
Phone: 301-503-3437