Provider Demographics
NPI:1861870040
Name:RELIABLE TRANSPORTATION
Entity type:Organization
Organization Name:RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-420-2101
Mailing Address - Street 1:40 SOUTHBRIDGE ST
Mailing Address - Street 2:STE225
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-2039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 SOUTHBRIDGE ST
Practice Address - Street 2:STE225
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2039
Practice Address - Country:US
Practice Address - Phone:774-420-2101
Practice Address - Fax:774-961-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle