Provider Demographics
NPI:1568946507
Name:DE WHITE IMPERIAL GLOBAL LLC
Entity Type:Organization
Organization Name:DE WHITE IMPERIAL GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MR
Authorized Official - First Name:OLANIYI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-768-0010
Mailing Address - Street 1:900 ANVIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6110
Mailing Address - Country:US
Mailing Address - Phone:678-768-0010
Mailing Address - Fax:
Practice Address - Street 1:900 ANVIL CREEK DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6110
Practice Address - Country:US
Practice Address - Phone:678-768-0010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)