Provider Demographics
NPI:1316270598
Name:AMERICA'S EXPRESS LIVERY SERVICE
Entity type:Organization
Organization Name:AMERICA'S EXPRESS LIVERY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKETA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-431-2918
Mailing Address - Street 1:453 S HIGH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-4415
Mailing Address - Country:US
Mailing Address - Phone:330-431-2918
Mailing Address - Fax:
Practice Address - Street 1:453 S HIGH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-4415
Practice Address - Country:US
Practice Address - Phone:330-431-2918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-06
Last Update Date:2009-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker