Provider Demographics
NPI:1194328393
Name:REMARKABLE TRANSPORT LLC
Entity type:Organization
Organization Name:REMARKABLE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEYANDRA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-464-7116
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:GLOSTER
Mailing Address - State:LA
Mailing Address - Zip Code:71030-0091
Mailing Address - Country:US
Mailing Address - Phone:318-464-7116
Mailing Address - Fax:
Practice Address - Street 1:6205 HWY 5
Practice Address - Street 2:
Practice Address - City:GLOSTER
Practice Address - State:LA
Practice Address - Zip Code:71030
Practice Address - Country:US
Practice Address - Phone:318-464-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker