Provider Demographics
NPI:1235736398
Name:MEEKINS SENIOR SHUTTLE
Entity Type:Organization
Organization Name:MEEKINS SENIOR SHUTTLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS-MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-345-0572
Mailing Address - Street 1:15599 MOSS HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-6875
Mailing Address - Country:US
Mailing Address - Phone:904-345-0572
Mailing Address - Fax:
Practice Address - Street 1:15599 MOSS HOLLOW DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-6875
Practice Address - Country:US
Practice Address - Phone:904-345-0572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty