Provider Demographics
NPI:1063780807
Name:ALL ABOARD TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:ALL ABOARD TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:COUSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-401-3764
Mailing Address - Street 1:2289 BAKER STATION DR
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-3037
Mailing Address - Country:US
Mailing Address - Phone:678-401-3764
Mailing Address - Fax:800-641-9058
Practice Address - Street 1:2289 BAKER STATION DR
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-3037
Practice Address - Country:US
Practice Address - Phone:678-401-3764
Practice Address - Fax:800-641-9058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GABXH3086343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)