Healthcare Provider Details

I. General information

NPI: 1851382832
Provider Name (Legal Business Name): SENIOR TRANSPORTATION AND INVALID COACH SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 WHITE HORSE PIKE SUITE B-7
ABSECON NJ
08201-1458
US

IV. Provider business mailing address

707 WHITE HORSE PIKE SUITE B-7
ABSECON NJ
08201-1458
US

V. Phone/Fax

Practice location:
  • Phone: 609-407-9897
  • Fax: 609-407-9537
Mailing address:
  • Phone: 609-407-9897
  • Fax: 609-407-9537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. AMIR BASHIR
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 609-407-9897