Provider Demographics
NPI:1003349929
Name:CREME DELA CREME TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CREME DELA CREME TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:E
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-683-0763
Mailing Address - Street 1:1912 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-5210
Mailing Address - Country:US
Mailing Address - Phone:804-683-0763
Mailing Address - Fax:804-303-1848
Practice Address - Street 1:1912 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-5210
Practice Address - Country:US
Practice Address - Phone:804-683-0763
Practice Address - Fax:804-303-1848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)