Provider Demographics
NPI:1235654633
Name:AFC TRANSPORT
Entity Type:Organization
Organization Name:AFC TRANSPORT
Other - Org Name:AFC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:OBLICH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:315-508-5468
Mailing Address - Street 1:1203 SHELLS BUSH RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365-6133
Mailing Address - Country:US
Mailing Address - Phone:315-508-5468
Mailing Address - Fax:
Practice Address - Street 1:1203 SHELLS BUSH ROAD
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NY
Practice Address - Zip Code:13365
Practice Address - Country:US
Practice Address - Phone:315-508-5468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi