Provider Demographics
NPI:1487307567
Name:TENDER LIFE MOBILITY TRANSPORTATION LLC
Entity type:Organization
Organization Name:TENDER LIFE MOBILITY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMA
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-704-4800
Mailing Address - Street 1:109 ASPINWOOD WAY APT G
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4225
Mailing Address - Country:US
Mailing Address - Phone:443-704-4800
Mailing Address - Fax:
Practice Address - Street 1:109 ASPINWOOD WAY APT G
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-4225
Practice Address - Country:US
Practice Address - Phone:443-704-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-30
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle