Provider Demographics
NPI:1396218392
Name:REVELY TRANSPORTS LLC
Entity Type:Organization
Organization Name:REVELY TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REVELY
Authorized Official - Suffix:JR
Authorized Official - Credentials:LLC
Authorized Official - Phone:434-221-8730
Mailing Address - Street 1:26 BENTRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-7193
Mailing Address - Country:US
Mailing Address - Phone:434-221-8730
Mailing Address - Fax:434-846-2081
Practice Address - Street 1:26 BENTRIDGE CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-7193
Practice Address - Country:US
Practice Address - Phone:434-221-8730
Practice Address - Fax:434-846-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)