Provider Demographics
NPI:1083319412
Name:REVOLUTION TRANSPORTATION LLC
Entity Type:Organization
Organization Name:REVOLUTION TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AOCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:APUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:720-431-3093
Mailing Address - Street 1:204 KINGSTON DR APT D
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-2933
Mailing Address - Country:US
Mailing Address - Phone:720-431-3093
Mailing Address - Fax:
Practice Address - Street 1:204 KINGSTON DR APT D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-2933
Practice Address - Country:US
Practice Address - Phone:720-431-3093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty