Provider Demographics
NPI:1295387348
Name:LOVING TRANSPORTATION
Entity Type:Organization
Organization Name:LOVING TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHETERA
Authorized Official - Middle Name:QUISHON
Authorized Official - Last Name:OATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-522-6012
Mailing Address - Street 1:6600 SUGARLOAF PKWY # 353
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4344
Mailing Address - Country:US
Mailing Address - Phone:678-522-6012
Mailing Address - Fax:
Practice Address - Street 1:11523 TEASIDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-4793
Practice Address - Country:US
Practice Address - Phone:678-522-6012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)