Provider Demographics
NPI:1144879479
Name:CHARLENE SAFE RIDE, INC
Entity type:Organization
Organization Name:CHARLENE SAFE RIDE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BELAHOUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELAHOUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-720-2656
Mailing Address - Street 1:1016 HISTORIC CIR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5845
Mailing Address - Country:US
Mailing Address - Phone:919-309-7233
Mailing Address - Fax:919-443-1170
Practice Address - Street 1:1016 HISTORIC CIR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5845
Practice Address - Country:US
Practice Address - Phone:919-309-7233
Practice Address - Fax:919-443-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2019Medicaid