MEDICARE: SAFEGUARD TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1245681352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEGUARD TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	6787 MARKET ST STE 105
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1848
Country	:	US
Telephone Number	:	610-624-1816
Fax Number	:

Provider Business Practice Location Address
First Line	:	6787 MARKET ST STE 105
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1848
Country	:	US
Telephone Number	:	610-624-1816
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RAYMOND XIANG
Credential	:
Telephone Number	:	610-624-1816

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	02/02/2021

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Directions to “SAFEGUARD TRANSPORTATION LLC ” Practice Location

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