Provider Demographics
NPI:1609510965
Name:CAIRO TRUCKING LLC
Entity Type:Organization
Organization Name:CAIRO TRUCKING LLC
Other - Org Name:CAIRO TRUCKING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-561-1944
Mailing Address - Street 1:2627 GLENBROOK LN
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3697
Mailing Address - Country:US
Mailing Address - Phone:716-563-3967
Mailing Address - Fax:
Practice Address - Street 1:5714 JAMES WALK CT
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-2966
Practice Address - Country:US
Practice Address - Phone:716-563-3967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)