Provider Demographics
NPI:1710344098
Name:CARLENROSE CORPORATION
Entity Type:Organization
Organization Name:CARLENROSE CORPORATION
Other - Org Name:CARLENROSE LOGISTICS, OTTUMWA CAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:HULEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-684-4604
Mailing Address - Street 1:655 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-2312
Mailing Address - Country:US
Mailing Address - Phone:641-684-4604
Mailing Address - Fax:641-683-7772
Practice Address - Street 1:655 W 2ND ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-2312
Practice Address - Country:US
Practice Address - Phone:641-684-4604
Practice Address - Fax:641-683-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi