Provider Demographics
NPI:1578880993
Name:ABLE TRANSPORT, INC.
Entity Type:Organization
Organization Name:ABLE TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:GILMORE
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-380-0769
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30085-0193
Mailing Address - Country:US
Mailing Address - Phone:404-380-0769
Mailing Address - Fax:678-629-3168
Practice Address - Street 1:803 CONEWOOD CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3792
Practice Address - Country:US
Practice Address - Phone:404-380-0769
Practice Address - Fax:678-629-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-24
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)