Provider Demographics
NPI:1407341209
Name:C'S VIOLET'S LOVE TRANSPORTATION AND SERVICES, INC
Entity Type:Organization
Organization Name:C'S VIOLET'S LOVE TRANSPORTATION AND SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-213-6329
Mailing Address - Street 1:133 JOINER RD
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MS
Mailing Address - Zip Code:38843-7427
Mailing Address - Country:US
Mailing Address - Phone:662-213-6329
Mailing Address - Fax:
Practice Address - Street 1:133 JOINER RD
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MS
Practice Address - Zip Code:38843-7427
Practice Address - Country:US
Practice Address - Phone:662-213-6329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
MS347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)