Organization
TREE OF LIFE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUAN EVERETT (CEO)
(919) 673-6947
Entity
Organization
Contact information
Practice address
5067 RAINMAKER DR, DURHAM, NC 27704-2299
(919) 973-6947
Mailing address
5067 RAINMAKER DR, DURHAM, NC 27704-2299
(919) 973-6947
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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