Organization Name: | FREESTYLE TRANSPORTATION |
NPI Number: | 1568724383 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CVETA ALEKSANDRIC (OWNER) |
Mailing Address: | 20 Seminole Ave Lake Hiawatha |
State: | NJ US |
Postal Code: | 070342805 |
Phone Number: | 9734443533 |
Fax Number: | 9735883990 |
NPI Enumeration Date: | 06/08/2012 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |