Healthcare Provider Details
I. General information
NPI: 1811203086
Provider Name (Legal Business Name): C-RYTE SAFE AND RELIABLE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1585 CROWN VIEW DR
LITTLE ELM TX
75068-5520
US
IV. Provider business mailing address
1585 CROWN VIEW DR
LITTLE ELM TX
75068-5520
US
V. Phone/Fax
- Phone: 214-299-3867
- Fax: 214-618-4488
- Phone: 214-299-3867
- Fax: 214-618-4488
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | 29166769 |
| License Number State | TX |
VIII. Authorized Official
Name: MS.
LISA
LANORE
REESE
Title or Position: OWNER
Credential:
Phone: 214-299-3867