Healthcare Provider Details

I. General information

NPI: 1720211816
Provider Name (Legal Business Name): S.V.F.E. AMBULANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2009
Last Update Date: 08/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 BANK ST SUITE A
LODI OH
44254-1025
US

IV. Provider business mailing address

1620 AUSTIN ST
HOUSTON TX
77002-7710
US

V. Phone/Fax

Practice location:
  • Phone: 330-948-9111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHEBA MUHARIB
Title or Position: OWNER
Credential:
Phone: 330-948-9111