Provider Demographics
NPI:1003379371
Name:TRAVELING MERCIES,LLC
Entity Type:Organization
Organization Name:TRAVELING MERCIES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-687-3294
Mailing Address - Street 1:7812 CHEATHAMS RD
Mailing Address - Street 2:
Mailing Address - City:AMELIA COURT HOUSE
Mailing Address - State:VA
Mailing Address - Zip Code:23002-2804
Mailing Address - Country:US
Mailing Address - Phone:806-687-3294
Mailing Address - Fax:
Practice Address - Street 1:7812 CHEATHAMS RD
Practice Address - Street 2:
Practice Address - City:AMELIA COURT HOUSE
Practice Address - State:VA
Practice Address - Zip Code:23002-2804
Practice Address - Country:US
Practice Address - Phone:804-293-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)