Provider Demographics
NPI:1275377038
Name:ALICE FOSTER TRANSITION ENTERPRISES RESOURCES
Entity type:Organization
Organization Name:ALICE FOSTER TRANSITION ENTERPRISES RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:JEA
Authorized Official - Last Name:BRINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-283-9940
Mailing Address - Street 1:3801 EMERALD DR UNIT 805
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-3848
Mailing Address - Country:US
Mailing Address - Phone:682-319-5671
Mailing Address - Fax:
Practice Address - Street 1:3801 EMERALD DR UNIT 805
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-3848
Practice Address - Country:US
Practice Address - Phone:682-319-5671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)