Provider Demographics
NPI:1598522757
Name:BREAKINGFORTH TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BREAKINGFORTH TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-942-7172
Mailing Address - Street 1:766 MISKIMON RD
Mailing Address - Street 2:
Mailing Address - City:HEATHSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22473-3820
Mailing Address - Country:US
Mailing Address - Phone:434-942-7172
Mailing Address - Fax:
Practice Address - Street 1:766 MISKIMON RD
Practice Address - Street 2:
Practice Address - City:HEATHSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22473-3820
Practice Address - Country:US
Practice Address - Phone:434-942-7172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi