Provider Demographics
NPI:1992117170
Name:WILL TURN LIVERY&TRANSPORTATION LOCAL
Entity type:Organization
Organization Name:WILL TURN LIVERY&TRANSPORTATION LOCAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:LEVON
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-904-9470
Mailing Address - Street 1:3330 WESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-9633
Mailing Address - Country:US
Mailing Address - Phone:704-904-9470
Mailing Address - Fax:
Practice Address - Street 1:3330 WESTVIEW RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-9633
Practice Address - Country:US
Practice Address - Phone:704-904-9470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20245006343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)