Provider Demographics
NPI:1699160291
Name:ABS AFFORDABLE CAB
Entity type:Organization
Organization Name:ABS AFFORDABLE CAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BYRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-942-5287
Mailing Address - Street 1:808 S 22ND ST
Mailing Address - Street 2:
Mailing Address - City:HERRIN
Mailing Address - State:IL
Mailing Address - Zip Code:62948-2406
Mailing Address - Country:US
Mailing Address - Phone:618-942-5287
Mailing Address - Fax:
Practice Address - Street 1:808 S 22ND ST
Practice Address - Street 2:
Practice Address - City:HERRIN
Practice Address - State:IL
Practice Address - Zip Code:62948-2406
Practice Address - Country:US
Practice Address - Phone:618-942-5287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi