Provider Demographics
NPI:1518791698
Name:PATTY'S TRANSPORT LOGISTICS, L.L.C.
Entity type:Organization
Organization Name:PATTY'S TRANSPORT LOGISTICS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-339-3469
Mailing Address - Street 1:19116 CLOVER MEADOW PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19116 CLOVER MEADOW PL
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3141
Practice Address - Country:US
Practice Address - Phone:301-339-3469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)