Provider Demographics
NPI:1245793140
Name:ADMIRAL VAN LINES
Entity Type:Organization
Organization Name:ADMIRAL VAN LINES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DMITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:NOSKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-287-0299
Mailing Address - Street 1:97 E 2ND ST STE C
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4255
Mailing Address - Country:US
Mailing Address - Phone:800-287-0299
Mailing Address - Fax:
Practice Address - Street 1:97 E 2ND ST STE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4255
Practice Address - Country:US
Practice Address - Phone:800-287-0299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management