MEDICARE: SAFE TRANSPORTATION AND RELIABLE SERVICE

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	:	1952548604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE TRANSPORTATION AND RELIABLE SERVICE

Provider Business Mailing Address
First Line	:	20216 LONGBROOK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2829
Country	:	US
Telephone Number	:	216-403-8334
Fax Number	:

Provider Business Practice Location Address
First Line	:	20216 LONGBROOK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2829
Country	:	US
Telephone Number	:	216-403-8334
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CRYSTAL MURRAY
Credential	:
Telephone Number	:	216-403-8334

Provider Enumeration Date	:	01/17/2009
Last Update Date	:	01/17/2009

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