| Organization Name: | LOYAL MEDICAL TRANSPORTATION LLC |
| NPI Number: | 1235413550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS F. FRANCO (PRESIDENT) |
| Mailing Address: | 126 Irving Pl Basking Ridge |
| State: | NJ US |
| Postal Code: | 079203030 |
| Phone Number: | 9083507484 |
| Fax Number: | 9083507484 |
| NPI Enumeration Date: | 10/05/2011 |
| NPI Last Update Date: | 10/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | L1812036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |