Provider Demographics
NPI:1033416003
Name:IAU TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:IAU TRANSPORTATION, LLC
Other - Org Name:FARMVILLE RURAL TRANSPORTATION SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-753-2513
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27828-0368
Mailing Address - Country:US
Mailing Address - Phone:252-753-2513
Mailing Address - Fax:
Practice Address - Street 1:3512 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:NC
Practice Address - Zip Code:27828-8583
Practice Address - Country:US
Practice Address - Phone:252-753-2513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-27
Last Update Date:2011-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)