Provider Demographics
NPI:1114798543
Name:EXITUS GLOBAL, INC.
Entity Type:Organization
Organization Name:EXITUS GLOBAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-383-1320
Mailing Address - Street 1:4259 TENNEYSON LN
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1890
Mailing Address - Country:US
Mailing Address - Phone:864-941-7574
Mailing Address - Fax:
Practice Address - Street 1:4259 TENNEYSON LN
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1890
Practice Address - Country:US
Practice Address - Phone:864-941-7574
Practice Address - Fax:678-784-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)