Provider Demographics
NPI:1437843307
Name:THE BRANDING MACHINE LLC
Entity Type:Organization
Organization Name:THE BRANDING MACHINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAVONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-719-6812
Mailing Address - Street 1:1088 EASTWAY DR APT 9
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-4682
Mailing Address - Country:US
Mailing Address - Phone:330-719-6812
Mailing Address - Fax:
Practice Address - Street 1:1088 EASTWAY DR APT 9
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-4682
Practice Address - Country:US
Practice Address - Phone:330-719-6812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)