Provider Demographics
NPI:1649624032
Name:SAFETRAC TRANSPORTATION & LOGISTICS, LLC
Entity type:Organization
Organization Name:SAFETRAC TRANSPORTATION & LOGISTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:DEXTER
Authorized Official - Last Name:PARKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-496-3248
Mailing Address - Street 1:46 VILLA ROSA LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:GA
Mailing Address - Zip Code:30179-4224
Mailing Address - Country:US
Mailing Address - Phone:678-563-7577
Mailing Address - Fax:678-563-7577
Practice Address - Street 1:46 VILLA ROSA LN
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:GA
Practice Address - Zip Code:30179-4224
Practice Address - Country:US
Practice Address - Phone:678-563-7577
Practice Address - Fax:678-563-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)