Provider Demographics
NPI:1003250903
Name:LOVE CULTURE TRANSPORTATION
Entity Type:Organization
Organization Name:LOVE CULTURE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:WAINWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-319-3704
Mailing Address - Street 1:4995 BRISTOL WOODS
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-8957
Mailing Address - Country:US
Mailing Address - Phone:901-319-3704
Mailing Address - Fax:901-249-5200
Practice Address - Street 1:4995 BRISTOL WOODS
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-8957
Practice Address - Country:US
Practice Address - Phone:901-319-3704
Practice Address - Fax:901-249-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN61681604343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)