Provider Demographics
NPI:1477765865
Name:MOBILEWOODS AMBULETTE AND TRANSPORTATION CORPORATION
Entity Type:Organization
Organization Name:MOBILEWOODS AMBULETTE AND TRANSPORTATION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STALLWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-926-6210
Mailing Address - Street 1:464 W 141ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6202
Mailing Address - Country:US
Mailing Address - Phone:212-926-6210
Mailing Address - Fax:646-654-8237
Practice Address - Street 1:464 W 141ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6202
Practice Address - Country:US
Practice Address - Phone:212-926-6210
Practice Address - Fax:646-654-8237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered344600000XTransportation ServicesTaxi