Provider Demographics
NPI:1518641455
Name:LIVE2LOVE TRANSPORTATION
Entity Type:Organization
Organization Name:LIVE2LOVE TRANSPORTATION
Other - Org Name:LIVE2LOVE
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-396-1849
Mailing Address - Street 1:1216 CAMP GREENE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-4012
Mailing Address - Country:US
Mailing Address - Phone:704-396-1849
Mailing Address - Fax:
Practice Address - Street 1:1216 CAMP GREENE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-4012
Practice Address - Country:US
Practice Address - Phone:704-396-1849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty