Provider Demographics
NPI:1396027256
Name:A GRADE CLEAING AND TRANSPORTATION
Entity Type:Organization
Organization Name:A GRADE CLEAING AND TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASIF
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZABIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-310-4059
Mailing Address - Street 1:2809 N OAK RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005-1037
Mailing Address - Country:US
Mailing Address - Phone:605-310-4059
Mailing Address - Fax:
Practice Address - Street 1:2809 N OAK RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:SD
Practice Address - Zip Code:57005-1037
Practice Address - Country:US
Practice Address - Phone:605-310-4059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1024-2182-ST347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1024-2182-STOtherLICENSE