Provider Demographics
NPI:1205370335
Name:FULL CIRCLE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:FULL CIRCLE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-275-4048
Mailing Address - Street 1:1965 BERNICE RD
Mailing Address - Street 2:SUITE 1SW
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-6017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1965 BERNICE RD
Practice Address - Street 2:SUITE 1SW
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-6017
Practice Address - Country:US
Practice Address - Phone:708-251-8423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)