Provider Demographics
NPI:1114338837
Name:MONDLIZE CONSUMER SERVICES LLC
Entity Type:Organization
Organization Name:MONDLIZE CONSUMER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANKRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-292-2287
Mailing Address - Street 1:15 PRESTBURY SQ
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2608
Mailing Address - Country:US
Mailing Address - Phone:302-533-5178
Mailing Address - Fax:302-380-3250
Practice Address - Street 1:403 NATTULL DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-4909
Practice Address - Country:US
Practice Address - Phone:215-292-2287
Practice Address - Fax:302-380-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2010117783343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)