Healthcare Provider Details

I. General information

NPI: 1316863335
Provider Name (Legal Business Name): SAFECARE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 LENWOOD AVE APT 14
GREEN BAY WI
54303-6601
US

IV. Provider business mailing address

1721 LENWOOD AVE APT 14
GREEN BAY WI
54303-6601
US

V. Phone/Fax

Practice location:
  • Phone: 920-305-5732
  • Fax:
Mailing address:
  • Phone: 920-305-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: AWEZAYE QUENCH MUFANO
Title or Position: OWNER
Credential:
Phone: 920-305-5732