Provider Demographics
NPI:1568737302
Name:VENUS WATKINS
Entity Type:Organization
Organization Name:VENUS WATKINS
Other - Org Name:ABSOLUTE TRANSPORT SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VENUS
Authorized Official - Middle Name:SECOLIA
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/MANAGER
Authorized Official - Phone:757-338-0258
Mailing Address - Street 1:140 W WASHINGTON ST STE 9
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5254
Mailing Address - Country:US
Mailing Address - Phone:757-338-0258
Mailing Address - Fax:
Practice Address - Street 1:140 W WASHINGTON ST STE 9
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5254
Practice Address - Country:US
Practice Address - Phone:757-338-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT61534365343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)