Provider Demographics
NPI:1285166546
Name:DANIELS NON-MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:DANIELS NON-MEDICAL TRANSPORTATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-222-4556
Mailing Address - Street 1:515 WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-8442
Mailing Address - Country:US
Mailing Address - Phone:912-222-4556
Mailing Address - Fax:912-275-8959
Practice Address - Street 1:515 WOLFE ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-8442
Practice Address - Country:US
Practice Address - Phone:912-222-4556
Practice Address - Fax:912-275-8959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)