Provider Demographics
NPI:1033451315
Name:ROSE TRANSPORT SERVICES ,LLC
Entity Type:Organization
Organization Name:ROSE TRANSPORT SERVICES ,LLC
Other - Org Name:ROSE TRANSPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLYN
Authorized Official - Middle Name:LEKENYA
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-910-2780
Mailing Address - Street 1:4026 ALICIA LN
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2598
Mailing Address - Country:US
Mailing Address - Phone:404-910-2780
Mailing Address - Fax:
Practice Address - Street 1:4026 ALICIA LN
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2598
Practice Address - Country:US
Practice Address - Phone:404-910-2780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)