Provider Demographics
NPI:1093411035
Name:CARRIE CARES TRANSPORTATION
Entity Type:Organization
Organization Name:CARRIE CARES TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-447-7906
Mailing Address - Street 1:1023 BALSAM WOOD TRL
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-6975
Mailing Address - Country:US
Mailing Address - Phone:404-447-7906
Mailing Address - Fax:
Practice Address - Street 1:1023 BALSAM WOOD TRL
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-6975
Practice Address - Country:US
Practice Address - Phone:404-447-7906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)