Provider Demographics
NPI:1316686660
Name:WOODARDS MOBILITY & TRANSPORTATION
Entity type:Organization
Organization Name:WOODARDS MOBILITY & TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TIKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-916-7139
Mailing Address - Street 1:2202 SWEET BAY DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2535
Mailing Address - Country:US
Mailing Address - Phone:252-916-7139
Mailing Address - Fax:
Practice Address - Street 1:2202 SWEET BAY DR UNIT A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2535
Practice Address - Country:US
Practice Address - Phone:252-916-7139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker