Provider Demographics
NPI:1629588744
Name:ABUNDANCE TRANSPORTATION
Entity Type:Organization
Organization Name:ABUNDANCE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:RAYFORD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:901-207-6520
Mailing Address - Street 1:7244 GRAND BAY CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3083
Mailing Address - Country:US
Mailing Address - Phone:901-207-6520
Mailing Address - Fax:
Practice Address - Street 1:7244 GRAND BAY CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3083
Practice Address - Country:US
Practice Address - Phone:901-207-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty