Provider Demographics
NPI:1164145975
Name:SAVANNAH LOGISTICS LLC
Entity Type:Organization
Organization Name:SAVANNAH LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MWATU
Authorized Official - Middle Name:
Authorized Official - Last Name:KIOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-264-1144
Mailing Address - Street 1:4224 GLEN ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-8528
Mailing Address - Country:US
Mailing Address - Phone:469-264-1144
Mailing Address - Fax:
Practice Address - Street 1:4224 GLEN ABBEY DR CROWLEY
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-7603
Practice Address - Country:US
Practice Address - Phone:469-264-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker