Provider Demographics
NPI:1588139398
Name:SOS TRANSPORTATION LLC
Entity type:Organization
Organization Name:SOS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUTCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-302-5644
Mailing Address - Street 1:1405 CHEWS LANDING RD STE 50
Mailing Address - Street 2:
Mailing Address - City:LAUREL SPRINGS
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-2769
Mailing Address - Country:US
Mailing Address - Phone:856-302-5644
Mailing Address - Fax:856-302-7864
Practice Address - Street 1:1405 CHEWS LANDING RD STE 50
Practice Address - Street 2:
Practice Address - City:LAUREL SPRINGS
Practice Address - State:NJ
Practice Address - Zip Code:08021-2769
Practice Address - Country:US
Practice Address - Phone:856-302-5644
Practice Address - Fax:856-302-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)