MEDICARE: SAFE AND SOUND 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	:	1356608749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE AND SOUND TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9641 GULL LAKE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-6893
Country	:	US
Telephone Number	:	317-292-0808
Fax Number	:	866-382-0185

Provider Business Practice Location Address
First Line	:	9641 GULL LAKE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-6893
Country	:	US
Telephone Number	:	317-292-0808
Fax Number	:	866-382-0185

Authorized Official
Title or Position	:	OWNER-OPERATOR
Name	:	MRS. KIMBERLY DEVON TURK
Credential	:
Telephone Number	:	317-292-0808

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	05/15/2012

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