MEDICARE: FAITH TRANSPORT INC.

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)	0003712126	MD

General Provider Information

NPI Number	:	1700176146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH TRANSPORT INC.

Provider Business Mailing Address
First Line	:	5204 ASHLEIGH GLEN CT
Second Line	:
City	:	GLENN DALE
State	:	MD
Zip	:	20769-9148
Country	:	US
Telephone Number	:	301-440-3366
Fax Number	:	301-262-3705

Provider Business Practice Location Address
First Line	:	5204 ASHLEIGH GLEN CT
Second Line	:
City	:	GLENN DALE
State	:	MD
Zip	:	20769-9148
Country	:	US
Telephone Number	:	301-440-3366
Fax Number	:	301-262-3705

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ADEPEJU AKINTO
Credential	:
Telephone Number	:	301-440-3366

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	04/18/2011

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Directions to “FAITH TRANSPORT INC. ” Practice Location

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