Provider Demographics
NPI:1508642398
Name:SEA MIST TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SEA MIST TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:513-284-4016
Mailing Address - Street 1:8174 SEA MIST CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-9248
Mailing Address - Country:US
Mailing Address - Phone:513-284-4016
Mailing Address - Fax:
Practice Address - Street 1:8174 SEA MIST CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-9248
Practice Address - Country:US
Practice Address - Phone:513-284-4016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)