Provider Demographics
NPI:1407380843
Name:BOSS TRANSPORT AND TRUCKING LLC.
Entity Type:Organization
Organization Name:BOSS TRANSPORT AND TRUCKING LLC.
Other - Org Name:BOSS TRANSPORT AND FAMILY SERVICES LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ODOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-256-6166
Mailing Address - Street 1:2221 S CLARK ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3745
Mailing Address - Country:US
Mailing Address - Phone:703-256-6166
Mailing Address - Fax:703-256-6167
Practice Address - Street 1:2221 S CLARK ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3745
Practice Address - Country:US
Practice Address - Phone:703-256-6166
Practice Address - Fax:703-256-6167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health