Provider Demographics
NPI:1104644822
Name:ARKANSAS RELIABLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:ARKANSAS RELIABLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARMJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH GHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-508-1404
Mailing Address - Street 1:1400 UNION CT APT 119
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6941
Mailing Address - Country:US
Mailing Address - Phone:501-508-1404
Mailing Address - Fax:
Practice Address - Street 1:1400 UNION CT APT 119
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6941
Practice Address - Country:US
Practice Address - Phone:501-508-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver