Provider Demographics
NPI:1093268690
Name:GROWING DEVELOPMENTS TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:GROWING DEVELOPMENTS TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NEQUILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EARNEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-855-4373
Mailing Address - Street 1:3900 W BROWN DEER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-1220
Mailing Address - Country:US
Mailing Address - Phone:888-855-4373
Mailing Address - Fax:920-267-6302
Practice Address - Street 1:3900 W BROWN DEER RD
Practice Address - Street 2:SUITE A
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-1220
Practice Address - Country:US
Practice Address - Phone:888-855-4373
Practice Address - Fax:920-267-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)