Organization
SAFEWAY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSHAZLI MOHAMED (OWNER)
(312) 975-6397
Entity
Organization
Contact information
Practice address
120 OAK VALLEY DR APT A11, NASHVILLE, TN 37207-2962
(312) 975-6397
Mailing address
1633 DOUBLETREE LN, NASHVILLE, TN 37217-3425
(615) 524-9156
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229689971
—
IL
Enumeration date
01/22/2018
Last updated
11/28/2018
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