Provider Demographics
NPI:1518656099
Name:FORBES DOOR TO DOOR TRANSPORT, LLC
Entity Type:Organization
Organization Name:FORBES DOOR TO DOOR TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN-ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL-FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-212-6587
Mailing Address - Street 1:713 CRESTON DR
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272-3001
Mailing Address - Country:US
Mailing Address - Phone:601-212-6587
Mailing Address - Fax:601-487-8693
Practice Address - Street 1:713 CRESTON DR
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-3001
Practice Address - Country:US
Practice Address - Phone:601-212-6587
Practice Address - Fax:601-487-8693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)