Healthcare Provider Details

I. General information

NPI: 1447188305
Provider Name (Legal Business Name): DOUBLE FOUR TEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 N LANSDOWNE AVE
LANSDOWNE PA
19050-1320
US

IV. Provider business mailing address

224 N LANSDOWNE AVE
LANSDOWNE PA
19050-1320
US

V. Phone/Fax

Practice location:
  • Phone: 248-906-9856
  • Fax:
Mailing address:
  • Phone: 248-906-9856
  • 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: BABATUNDE OYEDELE
Title or Position: SERVICE PROVIDER 1
Credential:
Phone: 248-906-9856