Provider Demographics
NPI:1417765660
Name:ACH LOGSTCS NC
Entity type:Organization
Organization Name:ACH LOGSTCS NC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULAH
Authorized Official - Middle Name:SHONE
Authorized Official - Last Name:HEBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-490-7866
Mailing Address - Street 1:7510 HOLLY HILL DR APT 132
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4524
Mailing Address - Country:US
Mailing Address - Phone:214-490-7866
Mailing Address - Fax:214-677-5517
Practice Address - Street 1:7510 HOLLY HILL DR APT 132
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4524
Practice Address - Country:US
Practice Address - Phone:214-490-7866
Practice Address - Fax:214-677-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)