Provider Demographics
NPI:1013590207
Name:MOBILE CARE-A-VEIN LLC.
Entity Type:Organization
Organization Name:MOBILE CARE-A-VEIN LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:LATRESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-557-6990
Mailing Address - Street 1:101 GENEVA DR
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9732
Mailing Address - Country:US
Mailing Address - Phone:513-557-6990
Mailing Address - Fax:
Practice Address - Street 1:101 GENEVA DR
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9732
Practice Address - Country:US
Practice Address - Phone:513-557-6990
Practice Address - Fax:251-408-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle