Provider Demographics
NPI:1215618749
Name:I WILL TAKE YOU THERE NON-MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:I WILL TAKE YOU THERE NON-MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:DAYVONETTE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-623-8593
Mailing Address - Street 1:706 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23868-1408
Mailing Address - Country:US
Mailing Address - Phone:434-623-8593
Mailing Address - Fax:
Practice Address - Street 1:706 2ND AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868-1408
Practice Address - Country:US
Practice Address - Phone:434-623-8593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)