Provider Demographics
NPI:1275102311
Name:BENNIE & TOWYONE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BENNIE & TOWYONE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-338-4314
Mailing Address - Street 1:218 DUDLEY FARM RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30683-3516
Mailing Address - Country:US
Mailing Address - Phone:170-633-8431
Mailing Address - Fax:
Practice Address - Street 1:218 DUDLEY FARM RD
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:GA
Practice Address - Zip Code:30683-3516
Practice Address - Country:US
Practice Address - Phone:706-338-4314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)