Healthcare Provider Details

I. General information

NPI: 1972802213
Provider Name (Legal Business Name): DA TRANSIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 03/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 CHALK LEVEL RD
DURHAM NC
27704-1759
US

IV. Provider business mailing address

802 CHALK LEVEL RD
DURHAM NC
27704-1759
US

V. Phone/Fax

Practice location:
  • Phone: 919-723-0253
  • Fax:
Mailing address:
  • Phone: 919-723-0253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. NYEMEKIA MUNN
Title or Position: OWNER
Credential:
Phone: 919-723-0253