Provider Demographics
NPI:1619652195
Name:ECC TRANSPORT SERVICES,LLC
Entity Type:Organization
Organization Name:ECC TRANSPORT SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:CARNELL
Authorized Official - Last Name:CASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-595-2369
Mailing Address - Street 1:148 KITCHENS RD
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-8000
Mailing Address - Country:US
Mailing Address - Phone:478-305-1638
Mailing Address - Fax:
Practice Address - Street 1:148 KITCHENS RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31096-8000
Practice Address - Country:US
Practice Address - Phone:478-305-1638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle