Provider Demographics
NPI:1043912066
Name:A PLACE FOR US LLC
Entity Type:Organization
Organization Name:A PLACE FOR US LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOKHARDT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-215-4340
Mailing Address - Street 1:9157 ATLEE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2504
Mailing Address - Country:US
Mailing Address - Phone:804-215-4340
Mailing Address - Fax:804-522-0405
Practice Address - Street 1:9157 ATLEE RD STE A
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2504
Practice Address - Country:US
Practice Address - Phone:804-215-4340
Practice Address - Fax:804-522-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle