Provider Demographics
NPI:1376025411
Name:ABERDEEN ON WHEELS LLC
Entity Type:Organization
Organization Name:ABERDEEN ON WHEELS LLC
Other - Org Name:ABERDEEN ON WHEELS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MCKINLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-436-0983
Mailing Address - Street 1:612 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MS
Mailing Address - Zip Code:39730-3053
Mailing Address - Country:US
Mailing Address - Phone:662-436-0983
Mailing Address - Fax:
Practice Address - Street 1:612 HIGH ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-3053
Practice Address - Country:US
Practice Address - Phone:662-436-0983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)