Provider Demographics
NPI:1033729173
Name:ABUNDANT TRANSPORT
Entity Type:Organization
Organization Name:ABUNDANT TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-518-9161
Mailing Address - Street 1:8437 BELL OAKS DR # 502
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2582
Mailing Address - Country:US
Mailing Address - Phone:812-518-9161
Mailing Address - Fax:317-769-0735
Practice Address - Street 1:8437 BELL OAKS DR # 502
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2582
Practice Address - Country:US
Practice Address - Phone:812-518-9161
Practice Address - Fax:317-769-0735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)