Provider Demographics
NPI:1306607353
Name:COMPASSION FORCE LLC
Entity type:Organization
Organization Name:COMPASSION FORCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PACHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKUWHETEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-550-8905
Mailing Address - Street 1:PO BOX 4486
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39603-6486
Mailing Address - Country:US
Mailing Address - Phone:601-550-7403
Mailing Address - Fax:
Practice Address - Street 1:1679 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:PRENTISS
Practice Address - State:MS
Practice Address - Zip Code:39474-9008
Practice Address - Country:US
Practice Address - Phone:601-550-7403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi