Organization · NPI-2

Fare Way Transportation

Technician, Attendant Care Provider · Lakeland, FL

NPI number1689913154

StatusActive

Last updated in NPPESDec 21, 2022

Details

NPI: 1689913154
Entity type: Organization (NPI-2)
Legal business name: Fare Way Transportation
Organization subpart: No
Enumeration date: Feb 4, 2013
Certification date: Dec 21, 2022
Last updated: Dec 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3747A0650X	Technician, Attendant Care Provider	–	–	Yes
343900000X	Non-emergency Medical Transport (VAN)	–	–

Practice location

2330 Golfview St
Lakeland, FL 33801-2528

Phone 863-581-0881 · Fax 863-500-1976

Mailing address

115 E Van Fleet Dr Ste 245
Bartow, FL 33830-3829

Phone 863-581-0881 · Fax 863-500-1976

Authorized official

Ventura Smith
Owner/Operator
8632714398

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