Provider Demographics
NPI:1104338250
Name:EGYG TRANSPORTATION LLC
Entity type:Organization
Organization Name:EGYG TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ENGLAND
Authorized Official - Middle Name:SHADA
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-205-8596
Mailing Address - Street 1:2504 MOUNT MORIAH RD STE D310
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-7520
Mailing Address - Country:US
Mailing Address - Phone:901-205-8596
Mailing Address - Fax:901-249-7567
Practice Address - Street 1:2504 MOUNT MORIAH RD STE D310
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-7520
Practice Address - Country:US
Practice Address - Phone:901-205-8596
Practice Address - Fax:901-249-7567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)