Provider Demographics
NPI:1720463011
Name:SAFE JOURNEY
Entity type:Organization
Organization Name:SAFE JOURNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-906-8834
Mailing Address - Street 1:4855 S ALAMEDA ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2366
Mailing Address - Country:US
Mailing Address - Phone:361-452-2922
Mailing Address - Fax:361-334-1660
Practice Address - Street 1:4855 S ALAMEDA ST STE 202
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-2366
Practice Address - Country:US
Practice Address - Phone:361-452-2922
Practice Address - Fax:361-334-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00301508343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)