Healthcare Provider Details

I. General information

NPI: 1902700727
Provider Name (Legal Business Name): SAFEHARBOR TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 FER DON RD
DAYTON OH
45405-5132
US

IV. Provider business mailing address

25 FER DON RD
DAYTON OH
45405-5132
US

V. Phone/Fax

Practice location:
  • Phone: 937-250-4695
  • Fax: 888-769-5381
Mailing address:
  • Phone: 937-250-4695
  • Fax: 888-769-5381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAKESCIA DESHAWN LEE
Title or Position: CO-OWNER
Credential:
Phone: 937-250-4695