Provider Demographics
NPI:1225484546
Name:ON DEMANDTRANSPORTATION LLC
Entity Type:Organization
Organization Name:ON DEMANDTRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:757-645-3535
Mailing Address - Street 1:861 SUGARLOAF RUN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-9410
Mailing Address - Country:US
Mailing Address - Phone:757-645-3535
Mailing Address - Fax:757-645-3555
Practice Address - Street 1:861 SUGARLOAF RUN
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-9410
Practice Address - Country:US
Practice Address - Phone:757-645-3535
Practice Address - Fax:757-645-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)